Southern Palms Chiropractic And Wellness | |
210 Westgate Mall D1 Suite 6 Spartanburg SC 29301-1371 | |
(864) 256-1437 | |
(864) 751-4385 |
Full Name | Southern Palms Chiropractic And Wellness |
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Speciality | Clinic/Center |
Location | 210 Westgate Mall D1, Spartanburg, South Carolina |
Authorized Official Name and Position | Shaneen Brown (OWNER) |
Authorized Official Contact | 8642561437 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Southern Palms Chiropractic And Wellness 210 Westgate Mall Dr Suite 6 Spartanburg SC 29301-1371 Ph: (864) 256-1437 | Southern Palms Chiropractic And Wellness 210 Westgate Mall D1 Suite 6 Spartanburg SC 29301-1371 Ph: (864) 256-1437 |
NPI Number | 1104202670 |
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Provider Enumeration Date | 08/06/2015 |
Last Update Date | 12/10/2021 |
Medicare PECOS PAC ID | 0840583613 |
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Medicare Enrollment ID | O20160801002515 |
Identifier | Type | State | Issuer |
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1104202670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 23670 (South Carolina) | Primary |
Provider Name | Shaneen Latriece Brown |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1174907471 PECOS PAC ID: 1759674526 Enrollment ID: I20160802000844 |
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