| Providence Chiropractic, Llc | |
|
3071 Highway 21 Byp, Suite 103, Fort Mill, SC 29715-7205 | |
| (803) 835-0444 | |
| (803) 835-0489 |
| Full Name | Providence Chiropractic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3071 Highway 21 Byp, Fort Mill, 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 |
|---|---|---|---|
| 1245571561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Jessica M Harden-venable |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922354034 PECOS PAC ID: 0042467524 Enrollment ID: I20120906000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Chiropractic, Llc 3071 Highway 21 Byp, Suite 103, Fort Mill, SC 29715-7205 Ph: (803) 835-0444 | Providence Chiropractic, Llc 3071 Highway 21 Byp, Suite 103, Fort Mill, SC 29715-7205 Ph: (803) 835-0444 |
Dr. Theresa Lobbestael, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 985 Market St Ste 201, Fort Mill, SC 29708 Phone: 803-547-9800 Fax: 803-547-9804 | |
Dr. Jonathan Cory Broyles, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 9945 Charlotte Hwy, Fort Mill, SC 29707 Phone: 803-802-8601 Fax: 803-802-7969 | |
Dr. Craig M. Leis, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 10384 Tintinhull Dr, Fort Mill, SC 29707 Phone: 704-502-7897 Fax: 704-327-0793 | |
Dr. Angenique Gloriann Jackson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1171 Market St Ste 112, Fort Mill, SC 29708 Phone: 803-802-7799 | |
New Life Disc, Spine & Joint Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10384 Tintinhull Dr, Fort Mill, SC 29707 Phone: 704-502-7897 Fax: 704-327-0793 | |
Marc E Mccartney, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2752 Pleasant Rd, Suite 104, Fort Mill, SC 29708 Phone: 803-802-3737 Fax: 803-802-3747 | |
Hall Chiropractic Center, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1171 Market St, Suite 104, Fort Mill, SC 29708 Phone: 803-412-2240 Fax: 803-802-2413 |