Jenna Lynne Titcombe, DC | |
4109 E North St, #600, Greenville, SC 29615-6209 | |
(864) 908-7873 | |
Not Available |
Full Name | Jenna Lynne Titcombe |
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Gender | Female |
Speciality | Chiropractor |
Location | 4109 E North St, Greenville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619284908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH60174984 (Washington) | Secondary |
111N00000X | Chiropractor | 038011894 (Illinois) | Secondary |
111N00000X | Chiropractor | DC.3729 DC (South Carolina) | Primary |
Provider Name | Pure Motion Sports And Spine, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1518380054 PECOS PAC ID: 0345692679 Enrollment ID: O20240122004535 |
Mailing Address | Practice Location Address |
---|---|
Jenna Lynne Titcombe, DC 4109 E North St, #600, Greenville, SC 29615-6209 Ph: (864) 908-7873 | Jenna Lynne Titcombe, DC 4109 E North St, #600, Greenville, SC 29615-6209 Ph: (864) 908-7873 |
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