Revive Spinal Care, Llc | |
213 E Butler Rd Ste A2, Mauldin, SC 29662-2172 | |
(864) 735-8377 | |
Not Available |
Full Name | Revive Spinal Care, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 213 E Butler Rd Ste A2, Mauldin, 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 |
---|---|---|---|
1619642824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Anthony Choi |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1497330336 PECOS PAC ID: 5890192082 Enrollment ID: I20211007003049 |
Mailing Address | Practice Location Address |
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Revive Spinal Care, Llc 213 E Butler Rd Ste A2, Mauldin, SC 29662-2172 Ph: (864) 735-8377 | Revive Spinal Care, Llc 213 E Butler Rd Ste A2, Mauldin, SC 29662-2172 Ph: (864) 735-8377 |
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