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NPI Code Detail

MEDICARE: COLUMBIA FAMILY CHIROPRACTIC FOREST ACRES LLC

MEDICARE: COLUMBIA FAMILY CHIROPRACTIC FOREST ACRES 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
1111N00000XChiropractor

General Provider Information

NPI Number : 1689387227
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBIA FAMILY CHIROPRACTIC FOREST ACRES LLC
Provider Business Mailing Address
First Line : 1709 SAINT JULIAN PL
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-2409
Country : US
Telephone Number : 803-728-4528
Fax Number :
Provider Business Practice Location Address
First Line : 1709 SAINT JULIAN PL
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-2409
Country : US
Telephone Number : 803-728-4528
Fax Number :
Authorized Official
Title or Position : OWNER
Name : THOMAS STETSON
Credential :
Telephone Number : 803-995-9193
Provider Enumeration Date : 12/28/2022
Last Update Date : 12/28/2022

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Directions to “COLUMBIA FAMILY CHIROPRACTIC FOREST ACRES LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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