Southeastern Chiropractic Center P C

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1581 Issued in SC

Legal business name

SOUTHEASTERN CHIROPRACTIC CENTER P C

Practice address

6420 Garners Ferry Rd
Columbia, SC 29209-1632

Phone

(803) 553-3368

NPI assigned

Aug 7, 2014

Organization subpart

No

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

Authorized official

Name

Lewis Randal Hinson, DC, CCSP

Title

Owner

Phone

(803) 553-3368

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1588073233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11596",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292111596",
            "telephone_number": "803-553-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 GARNERS FERRY RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091632",
            "telephone_number": "803-553-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN CHIROPRACTIC CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "HINSON",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "RANDAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-553-3368",
        "authorized_official_credential": "DC, CCSP"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "SC",
            "license": "1581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1578629861",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Carolina Youth Advocate Program
• Southeast Center for Family Development & Institute for Family Enrichm
• Southeast Counseling & Consulting, LLC
• Southeast Neuropathy & Treatment Center, LLC
• Southeast Therapy LLC
• Southeastern Ear Nose Throat Allergy and Sleep Disorders Institute
• Southeastern Health Care Group LLC
• Southeastern Medical Brokers, Inc.
• Southeastern Medical Supply Co
• Southeastern Medical Supply Inc

• Sports Physician Chiropractor in Columbia, SC
• Providers in Columbia, SC by specialty
• Sports Physician Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.