AUGUSTA STREET CLINIC LLC NPI 1336133313

NPI Information

AUGUSTA STREET CLINIC LLC is a chiropractor in Greenville, 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. AUGUSTA STREET CLINIC LLC NPI is 1336133313. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Augusta Street Clinic.

The provider's business location address is:

1521 AUGUSTA ST
GREENVILLE, SC
ZIP 29605-921
Phone: (864) 232-0082
Fax: (864) 232-1884

The provider's authorized official is Roger Steven Jaynes .
The authorized official title is Owner and has the following contact phone number (864) 232-0082.

The enumeration date for this NPI number is 9/7/2005 and was last updated on 6/27/2008.

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:

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