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NPI Code Detail

MEDICARE: TOTAL HEALTH INDUSTRIES NC, LLC

MEDICARE: TOTAL HEALTH INDUSTRIES NC, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NX0800XOrthopedic Chiropractor4018SC

General Provider Information

NPI Number : 1578926812
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOTAL HEALTH INDUSTRIES NC, LLC
Provider Business Mailing Address
First Line : 1040 EDGEWATER CORPORATE PKWY
Second Line : SUITE 104
City : INDIAN LAND
State : SC
Zip : 29707-4514
Country : US
Telephone Number : 704-626-2550
Fax Number : 704-626-2550
Provider Business Practice Location Address
First Line : 1040 EDGEWATER CORPORATE PKWY
Second Line : SUITE 104
City : INDIAN LAND
State : SC
Zip : 29707-4514
Country : US
Telephone Number : 704-626-2550
Fax Number : 704-626-2550
Authorized Official
Title or Position : OWNER
Name : JAMES TODD BOYD
Credential : DC, DABCO
Telephone Number : 704-626-2550
Provider Enumeration Date : 04/04/2016
Last Update Date : 04/04/2016

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Directions to “TOTAL HEALTH INDUSTRIES NC, LLC ” Practice Location

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