| Community Chiropractic | |
|
1097 S Pendleton St Easley SC 29642-1050 | |
| (864) 859-7900 | |
| (864) 859-7999 |
| Full Name | Community Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1097 S Pendleton St, Easley, South Carolina |
| Authorized Official Name and Position | Kevin Miles Mobley (OWNER) |
| Authorized Official Contact | 8648597900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Chiropractic 1097 S Pendleton St Easley SC 29642-1050 Ph: (864) 859-7900 | Community Chiropractic 1097 S Pendleton St Easley SC 29642-1050 Ph: (864) 859-7900 |
| NPI Number | 1962644179 |
|---|---|
| Provider Enumeration Date | 04/02/2009 |
| Last Update Date | 04/02/2009 |
| Medicare PECOS PAC ID | 9234280165 |
|---|---|
| Medicare Enrollment ID | O20090706000313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962644179 | NPI | - | NPPES |
| 1205909009 | Other | SC | INDIVIDUAL NPI |
| AA32600281 | Other | SC | MEDICARE PTAN |
| P00641082 | Other | MEDICARE RAILROAD PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3368 (South Carolina) | Primary |
| Provider Name | Kevin M Mobley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205909009 PECOS PAC ID: 3072558238 Enrollment ID: I20081124000353 |
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