Healthcare Provider Details

I. General information

NPI: 1689755464
Provider Name (Legal Business Name): CMI - FLORENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 09/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3124 S CASHUA DR
FLORENCE SC
29501-6302
US

IV. Provider business mailing address

PO BOX 5477
FLORENCE SC
29502-5477
US

V. Phone/Fax

Practice location:
  • Phone: 843-665-7500
  • Fax: 843-665-7530
Mailing address:
  • Phone: 843-665-7500
  • Fax: 843-665-7530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH CARTER
Title or Position: OWNER
Credential: D.C.
Phone: 843-665-7500