| Southern Palms Chiropractic and Wellness | |
|
210 Westgate Mall D1 Suite 6 Spartanburg SC 29301-1371 | |
| (864) 256-1437 | |
| (864) 751-4385 |
| Full Name | Southern Palms Chiropractic and Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 210 Westgate Mall D1, Spartanburg, South Carolina |
| Authorized Official Name and Position | Shaneen Brown (OWNER) |
| Authorized Official Contact | 8642561437 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Palms Chiropractic and Wellness 210 Westgate Mall Dr Suite 6 Spartanburg SC 29301-1371 Ph: (864) 256-1437 | Southern Palms Chiropractic and Wellness 210 Westgate Mall D1 Suite 6 Spartanburg SC 29301-1371 Ph: (864) 256-1437 |
| NPI Number | 1104202670 |
|---|---|
| Provider Enumeration Date | 08/06/2015 |
| Last Update Date | 03/19/2026 |
| Certification Date | 03/19/2026 |
| Medicare PECOS PAC ID | 0840583613 |
|---|---|
| Medicare Enrollment ID | O20160801002515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104202670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Secondary |
| 225700000X | Massage Therapist | () | Secondary |
| 261Q00000X | Clinic/center | 23670 (South Carolina) | Primary |
| Provider Name | Shaneen Latriece Brown |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174907471 PECOS PAC ID: 1759674526 Enrollment ID: I20160802000844 |
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