Healthcare Provider Details

I. General information

NPI: 1396879482
Provider Name (Legal Business Name): KHOURI AND WORKMAN CHIROPRACTIC AND HEALTH SOLUTIONS LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 07/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

149 E BAY ST
CHARLESTON SC
29401-2104
US

IV. Provider business mailing address

149 E BAY ST
CHARLESTON SC
29401-2104
US

V. Phone/Fax

Practice location:
  • Phone: 843-722-7074
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2726
License Number StateSC

VIII. Authorized Official

Name: DR. STEPHEN ABRAHAM KHOURI
Title or Position: PARTNER
Credential: D.C.
Phone: 843-722-7074