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ANDERSON SPINE & INJURY CHIROPRACTIC CENTER NPI 1558790584


NPI Information

NPI: 1558790584
Provider Name: ANDERSON SPINE & INJURY CHIROPRACTIC CENTER

Former Legal Business Name: WICKISER PHYSICAL MEDICINE

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
122 EAST WEST PARKWAY
ANDERSON, SC
ZIP 29621
Phone: (864) 226-8868
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ANDERSON SPINE & INJURY CHIROPRACTIC CENTER is a chiropractor in Anderson, 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. ANDERSON SPINE & INJURY CHIROPRACTIC CENTER NPI is 1558790584. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Wickiser Physical Medicine.

The provider's business location address is:

122 EAST WEST PARKWAY
ANDERSON, SC
ZIP 29621-361
Phone: (864) 226-8868
Fax: (864) 226-8804

The provider's authorized official is Clayton W Wickiser .
The authorized official title is President and has the following contact phone number (864) 226-8688.

The enumeration date for this NPI number is 11/12/2013 and was last updated on 5/9/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine14773SOUTH CAROLINANo
2332B00000XDurable Medical Equipment & Medical SuppliesSOUTH CAROLINANo
3111N00000XChiropractorYes

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: 4/28/2024

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