| E320 Chiropractic Llc | |
|
2500 N Main St Ste B, Anderson, SC 29621-3277 | |
| (864) 367-6766 | |
| Not Available |
| Full Name | E320 Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2500 N Main St Ste B, Anderson, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609372192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Rhonda K Lisowe |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356847842 PECOS PAC ID: 6709141971 Enrollment ID: I20180518000620 |
| Mailing Address | Practice Location Address |
|---|---|
| E320 Chiropractic Llc 2500 N Main St Ste B, Anderson, SC 29621-3277 Ph: (864) 367-6766 | E320 Chiropractic Llc 2500 N Main St Ste B, Anderson, SC 29621-3277 Ph: (864) 367-6766 |
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