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Organization
CHIROPRACTIC CENTER OF SOUTH COUNTY,INC.
Active
Organization
CHIROPRACTIC CENTER OF SOUTH COUNTY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME ANTHONY TARTARO (PRESIDENT/CHIROPRACTOR)
(401) 783-2937
Entity
Organization
Contact information
Practice address
EXECUTIVE BLDG, 118 POINT JUDITH RD, NARRAGANSETT, RI 02882-3439
(401) 783-2937
(401) 782-3620
Mailing address
EXECUTIVE BLDG, 118 POINT JUDITH RD, NARRAGANSETT, RI 02882-3439
(401) 783-2937
(401) 782-3620
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
DCP00246
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
408912
BLUE CHIP
RI
01
—
4400018
UNITED
RI
01
—
9022-5
BLUE CROSS
RI
Enumeration date
07/23/2007
Last updated
11/19/2007
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