Active NPI
Fowler Chiropractic
- Chiropractor
- Lake City, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1191
- Legal business name
- FOWLER CHIROPRACTIC
- Practice address
- 111 N Matthews Rd
Lake City, SC 29560-2309 - Phone
- (843) 374-8299
- Fax
- (843) 374-2195
- NPI assigned
- Feb 16, 2012
- Last updated
- Feb 16, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terrell E Fowler III, D.C
- Title
- Doctor
- Phone
- (843) 374-8299
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1191 | SC | Primary |
Addresses
Primary practice location
111 N Matthews Rd
Lake City, SC 29560-2309
Mailing address
111 N Matthews Rd
Lake City, SC 29560-2309
Phone (843) 374-8299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH1191 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
111 N Matthews Rd
Lake City, SC 29560
Phone (843) 253-0435
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Lake City, SC
- NPI 1205990066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329350400000",
"number": "1285907659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N MATTHEWS RD",
"city": "LAKE CITY",
"state": "SC",
"postal_code": "295602309",
"telephone_number": "843-374-8299",
"fax_number": "843-374-2195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N MATTHEWS RD",
"city": "LAKE CITY",
"state": "SC",
"postal_code": "295602309",
"telephone_number": "843-374-8299",
"fax_number": "843-374-2195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOWLER CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-16",
"last_updated": "2012-02-16",
"status": "A",
"authorized_official_last_name": "FOWLER",
"authorized_official_first_name": "TERRELL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "843-374-8299",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "D.C"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "1191",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH1191",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.