E and G St. John LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1908 Issued in SC

Legal business name

E AND G ST. JOHN LLC

Practice address

34 Parkway Commons Way
Greer, SC 29650-5213

Phone

(864) 877-2521

Fax

(864) 877-3513

NPI assigned

Apr 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gerald Herbert Stjohn, D.C.

Title

Owner

Phone

(864) 877-2521

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1467671735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 PARKWAY COMMONS WAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505213",
            "telephone_number": "864-877-2521",
            "fax_number": "864-877-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PARKWAY COMMONS WAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505213",
            "telephone_number": "864-877-2521",
            "fax_number": "864-877-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E AND G ST. JOHN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "STJOHN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "HERBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-877-2521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Greer, SC
• Providers in Greer, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.