| Palmetto Sports And Family Chiropractic | |
|
4200 E North St, Suite 6, Greenville, SC 29615-2437 | |
| (864) 244-4123 | |
| (864) 244-6879 |
| Full Name | Palmetto Sports And Family Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4200 E North St, Greenville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104223130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3965 (South Carolina) | Primary |
| Provider Name | William E Ferguson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790194397 PECOS PAC ID: 5395063036 Enrollment ID: I20150409001453 |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Sports And Family Chiropractic 4200 E North St, Suite 6, Greenville, SC 29615-2437 Ph: (864) 244-4123 | Palmetto Sports And Family Chiropractic 4200 E North St, Suite 6, Greenville, SC 29615-2437 Ph: (864) 244-4123 |
Dr. Thaddeus Modlin, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 27 S Pleasantburg Dr Ste 60, Greenville, SC 29607 Phone: 864-605-7350 Fax: 864-605-7351 | |
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Dr. Kiersten Braswell, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1025 Woodruff Rd Ste A104, Greenville, SC 29607 Phone: 864-686-5009 | |
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