| Easley Health And Spine | |
|
221 S Pendleton St Easley SC 29640-3047 | |
| (864) 442-5769 | |
| Not Available |
| Full Name | Easley Health And Spine |
|---|---|
| Speciality | General Practice |
| Location | 221 S Pendleton St, Easley, South Carolina |
| Authorized Official Name and Position | Andrew Herman (OWNER) |
| Authorized Official Contact | 8644425769 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Easley Health And Spine 221 S Pendleton St Easley SC 29640-3047 Ph: (864) 442-5769 | Easley Health And Spine 221 S Pendleton St Easley SC 29640-3047 Ph: (864) 442-5769 |
| NPI Number | 1508555764 |
|---|---|
| Provider Enumeration Date | 05/03/2023 |
| Last Update Date | 05/02/2024 |
| Medicare PECOS PAC ID | 8628417805 |
|---|---|
| Medicare Enrollment ID | O20240421000115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508555764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Andrew Dean Herman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598198194 PECOS PAC ID: 2860716677 Enrollment ID: I20150128000116 |
| Provider Name | Heather Leslie Bannister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821528258 PECOS PAC ID: 1254601909 Enrollment ID: I20170727004143 |
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