Community Chiropractic | |
1097 S Pendleton St Easley SC 29642-1050 | |
(864) 859-7900 | |
(864) 859-7999 |
Full Name | Community Chiropractic |
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Speciality | Clinic/Center |
Location | 1097 S Pendleton St, Easley, South Carolina |
Authorized Official Name and Position | Kevin Miles Mobley (OWNER) |
Authorized Official Contact | 8648597900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Chiropractic 1097 S Pendleton St Easley SC 29642-1050 Ph: (864) 859-7900 | Community Chiropractic 1097 S Pendleton St Easley SC 29642-1050 Ph: (864) 859-7900 |
NPI Number | 1962644179 |
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Provider Enumeration Date | 04/02/2009 |
Last Update Date | 04/02/2009 |
Medicare PECOS PAC ID | 9234280165 |
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Medicare Enrollment ID | O20090706000313 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962644179 | NPI | - | NPPES |
1205909009 | Other | SC | INDIVIDUAL NPI |
AA32600281 | Other | SC | MEDICARE PTAN |
P00641082 | Other | MEDICARE RAILROAD PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 3368 (South Carolina) | Primary |
Provider Name | Kevin M Mobley |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1205909009 PECOS PAC ID: 3072558238 Enrollment ID: I20081124000353 |
Fleetwood Internal Medicine Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109b Fleetwood Dr, Easley, SC 29640 Phone: 864-855-1036 Fax: 864-855-3318 | |