Wateree Chiropractic
Organization Active NPI Chiropractor · Lugoff, SC
NPI 1104018852 · NPPES record last updated Aug 16, 2007
Key facts
- NPI
- 1104018852
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1266 (SC)
- Legal business name
- WATEREE CHIROPRACTIC
- Practice address
- 810 Ridgeway Road
Lugoff, SC 29078-0248 - Phone
- (803) 438-1177
- NPI assigned
- Aug 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Durham Russell Maples, D.C.
- Title
- General Partner
- Phone
- (803) 438-1177
Practitioners 2
-
Dina Maples Blankenship, D.C.
-
Durham Russell Maples, D.C.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 1266 | SC | Yes |
Addresses
Primary practice location
810 Ridgeway Road
Lugoff, SC 29078-0248
Mailing address
PO Box 248
Lugoff, SC 29078-0248
Phone (803) 438-1177
Other providers in Lugoff, SC
- Claude Harold Varn Jr.
- Melanie Vaughn
- Tracy Wages
- Latanya Walker
- Kelly Lynn Warnock
- Wateree Family Dentistry
- Wateree Plaza Drug Corp
- Manda Werle-Adams
- Mackenzie Whitehouse
- Timothy M Wilson Jr.
All providers in Lugoff, SC · Chiropractor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.