SOUTHERN ROOTS CHIROPRACTIC LLC NPI 1487447181

NPI Information

  • NPI: 1487447181
  • Provider Name: SOUTHERN ROOTS CHIROPRACTIC LLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • CLIA Number: 42D2107266
  • Address: 323 VILLAGE SQUARE DR
    BATESBURG LEESVILLE, SC
    ZIP 29070
  • Phone: (803) 307-0000

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NPI Details

SOUTHERN ROOTS CHIROPRACTIC LLC is a chiropractor in Batesburg Leesville, 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. SOUTHERN ROOTS CHIROPRACTIC LLC NPI is 1487447181. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

323 VILLAGE SQUARE DR
BATESBURG LEESVILLE, SC
ZIP 29070-055
Phone: (803) 307-0000

The provider's authorized official is Samantha Detore .
The authorized official title is Co-owner and has the following contact phone number (724) 691-5794.

The CLIA number assigned to this NPI record is 42D2107266 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/26/2025 and was last updated on 5/26/2025.

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
1111N00000XChiropractorYes

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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