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NPI Code Detail

MEDICARE: GOODWIN FAMILY CHIROPRACTIC

MEDICARE: GOODWIN FAMILY CHIROPRACTIC
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
1111N00000XChiropractor1458SC

General Provider Information

NPI Number : 1659386464
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOODWIN FAMILY CHIROPRACTIC
Provider Business Mailing Address
First Line : 403 B WEST 4TH NORTH STREET
Second Line :
City : SUMMERVILLE
State : SC
Zip : 29483-6547
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 403 B WEST 4TH NORTH STREET
Second Line :
City : SUMMERVILLE
State : SC
Zip : 29483-6547
Country : US
Telephone Number : 843-851-5535
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. SUE GOODWIN
Credential :
Telephone Number : 843-851-5535
Provider Enumeration Date : 07/30/2006
Last Update Date : 08/22/2020

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Directions to “GOODWIN FAMILY CHIROPRACTIC ” Practice Location

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