Camden Clinic of Chiropractic, LLC
Organization Active NPI Chiropractor · Camden, SC
NPI 1124324629 · NPPES record last updated Jan 31, 2011
Key facts
- NPI
- 1124324629
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3589 (SC)
- Legal business name
- CAMDEN CLINIC OF CHIROPRACTIC, LLC
- Practice address
- 408 E Dekalb St
Suite D
Camden, SC 29020-4429 - Phone
- (803) 272-0990
- Fax
- (803) 272-0991
- NPI assigned
- Jan 31, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. James D Smith, D.C.
- Title
- Sole Member
- Phone
- (803) 272-0990
Practitioners 1
-
James D Smith, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110601000234 | SC | Part B Supplier - Clinic/Group Practice | 2365629334 |
Receives reassigned benefits from 1 practitioner Practice locations: Camden, SC |
National Provider Directory
Locations
408 E DeKalb St
Ste D
Camden, SC 29020
Phone (803) 272-0990
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 3589 | SC | Yes |
Addresses
Primary practice location
408 E Dekalb St
Suite D
Camden, SC 29020-4429
Mailing address
408 E Dekalb St
Suite D
Camden, SC 29020-4429
Phone (803) 272-0990
Other providers in Camden, SC
- Anna Butler
- Ronni Byrd-Bryant
- Shantise Byrd
- Camden Associated Physicians, P.a.
- Camden Bone & Joint LLC
- Camden Family Care LLC
- Camden Foot Clinic
- Camden General and Vascular Surgery
- Camden Heart Care, LLC
- Camden Open MRI
All providers in Camden, 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 Jan 31, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.