Powdersville Spine & Decompression LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

POWDERSVILLE SPINE & DECOMPRESSION LLC

Practice address

257 Wall St
Piedmont, SC 29673-6754

Phone

(864) 625-1600

Fax

(864) 625-1602

NPI assigned

Oct 17, 2019

Organization subpart

No

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

Authorized official

Name

Michael Charles Ebner, DC

Title

Owner

Phone

(864) 625-1600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1649812058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 WALL ST",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736754",
            "telephone_number": "864-625-1600",
            "fax_number": "864-625-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 WALL ST",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736754",
            "telephone_number": "864-625-1600",
            "fax_number": "864-625-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWDERSVILLE SPINE & DECOMPRESSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "EBNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-625-1600",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Possee, PHARMD
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• Angela Powell, MSN, RN
• Kristie Dianna Powell, LMT
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• Abby Puckett

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.