| Popwell Scota Spine Center | |
|
107 Pelham Commons Blvd, Greenville, SC 29615-4974 | |
| (864) 244-2220 | |
| (864) 244-9282 |
| Full Name | Popwell Scota Spine Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 107 Pelham Commons Blvd, 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 |
|---|---|---|---|
| 1407906290 | NPI | - | NPPES |
| 1336118272 | Other | SC | POPWELL NPI |
| 1780835496 | Other | SC | KENYA NPI# |
| 1780653204 | Other | SC | SCOTA NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2592 (South Carolina) | Primary |
| 111N00000X | Chiropractor | 2926 (South Carolina) | Secondary |
| Provider Name | Joseph P Scota |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780653204 PECOS PAC ID: 5698743953 Enrollment ID: I20040923000858 |
| Provider Name | Warren Popwell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336118272 PECOS PAC ID: 1355319625 Enrollment ID: I20111024000802 |
| Mailing Address | Practice Location Address |
|---|---|
| Popwell Scota Spine Center 107 Pelham Commons Blvd, Greenville, SC 29615-4974 Ph: (864) 244-2220 | Popwell Scota Spine Center 107 Pelham Commons Blvd, Greenville, SC 29615-4974 Ph: (864) 244-2220 |
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