MEDICARE: THE JOINT

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
1	111N00000X	Chiropractor	4123	SC

General Provider Information

NPI Number	:	1699120154
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE JOINT

Provider Business Mailing Address
First Line	:	1674 MALLARD POINT LN
Second Line	:
City	:	RIDGEWAY
State	:	SC
Zip	:	29130-9678
Country	:	US
Telephone Number	:	803-629-5451
Fax Number	:

Provider Business Practice Location Address
First Line	:	4710 FOREST DR
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29206-3156
Country	:	US
Telephone Number	:	803-790-6800
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR OF CHIROPRACTIC
Name	:	DR. DARIN J FALLER
Credential	:	D.C.
Telephone Number	:	803-629-5451

Provider Enumeration Date	:	05/03/2016
Last Update Date	:	05/03/2016

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Directions to “THE JOINT ” Practice Location

Language	Start Address	Practice Location

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