Healthcare Provider Details

I. General information

NPI: 1427768720
Provider Name (Legal Business Name): BARWICK FAMILY CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2022
Last Update Date: 11/29/2022
Certification Date: 11/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 ORCHARD PARK DR
GREENVILLE SC
29615-3567
US

IV. Provider business mailing address

84 ORCHARD PARK DR
GREENVILLE SC
29615-3567
US

V. Phone/Fax

Practice location:
  • Phone: 864-704-0920
  • Fax:
Mailing address:
  • Phone: 864-704-0920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. IAN BARWICK
Title or Position: CO-OWNER
Credential: DC
Phone: 864-704-0920