MEDICARE: BARBER 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
1	111N00000X	Chiropractor	983	SC

General Provider Information

NPI Number	:	1992938054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARBER CHIROPRACTIC

Provider Business Mailing Address
First Line	:	PO BOX 84522
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29073-0009
Country	:	US
Telephone Number	:	803-331-2732
Fax Number	:

Provider Business Practice Location Address
First Line	:	1926 S LAKE DR
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29073-8282
Country	:	US
Telephone Number	:	803-808-1897
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. GLENN BARBER
Credential	:
Telephone Number	:	803-331-2732

Provider Enumeration Date	:	08/24/2009
Last Update Date	:	08/24/2009

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Directions to “BARBER CHIROPRACTIC ” Practice Location

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