Healthcare Provider Details

I. General information

NPI: 1932245222
Provider Name (Legal Business Name): PARRIS FAMILY CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 07/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12301 GREENVILLE HWY
LYMAN SC
29365-1515
US

IV. Provider business mailing address

12301 GREENVILLE HWY
LYMAN SC
29365-1515
US

V. Phone/Fax

Practice location:
  • Phone: 864-949-9696
  • Fax: 864-949-9059
Mailing address:
  • Phone: 864-949-9696
  • Fax: 864-949-9059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2717
License Number StateSC

VIII. Authorized Official

Name: DR. NICHOLE PARRIS BROWN
Title or Position: PRESIDENT
Credential: D.C.
Phone: 864-949-9696