39 Stripes
Organization Active NPI Chiropractor · Fort Mill, SC
NPI 1386190882 · NPPES record last updated Aug 25, 2016
Key facts
- NPI
- 1386190882
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3696 (SC)
- Legal business name
- 39 STRIPES
- Practice address
- 8180 Regent Pkwy
104
Fort Mill, SC 29715-8417 - Phone
- (803) 517-9713
- NPI assigned
- Aug 25, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Adam Henderson, D.C.
- Title
- Owner/Doctor
- Phone
- (803) 517-9713
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 3696 | SC | Yes |
Addresses
Primary practice location
8180 Regent Pkwy
104
Fort Mill, SC 29715-8417
Mailing address
8180 Regent Pkwy
104
Fort Mill, SC 29715-8417
Phone (803) 517-9713
Other names
- Regent Park Chiropractic
Other providers in Fort Mill, SC
- 1 Foundation
- 100 Chiro Escobar LLC
- 100 Percent Chiropractic Livingood SC, LLC
- 803 Dental LLC
- A New Leaf Consulting & Counseling
- A New Leaf Home Care LLC
- A Traveler'S Hand, LLC
- Randa Ali Abbas
All providers in Fort Mill, 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 25, 2016. 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.