Healthcare Provider Details

I. General information

NPI: 1417862954
Provider Name (Legal Business Name): UNDERWOOD FAMILY CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11631 ASHEVILLE HWY STE I
INMAN SC
29349-1855
US

IV. Provider business mailing address

1 VIOLET CT
GREENVILLE SC
29615-5543
US

V. Phone/Fax

Practice location:
  • Phone: 864-473-0242
  • Fax: 864-472-0373
Mailing address:
  • Phone: 304-210-7564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. AMANDA G UNDERWOOD
Title or Position: OWNER
Credential:
Phone: 864-640-3819