WATEREE CHIROPRACTIC NPI 1104018852

NPI Information

  • NPI: 1104018852
  • Provider Name: WATEREE CHIROPRACTIC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 810 RIDGEWAY ROAD
    LUGOFF, SC
    ZIP 29078
  • Phone: (803) 438-1177

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NPI Details

WATEREE CHIROPRACTIC is a chiropractor in Lugoff, SC. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. WATEREE CHIROPRACTIC NPI is 1104018852. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

810 RIDGEWAY ROAD
LUGOFF, SC
ZIP 29078-248
Phone: (803) 438-1177

The provider's authorized official is Durham Russell Maples .
The authorized official title is General Partner and has the following contact phone number (803) 438-1177.

The enumeration date for this NPI number is 8/16/2007 and was last updated on 8/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor1266SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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