# CHIROPRACTIC CENTER OF SOUTH COUNTY,INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154521649
- **Authorized official:** JEROME ANTHONY TARTARO (PRESIDENT/CHIROPRACTOR)
- **Authorized official phone:** (401) 783-2937

## Contact information

- **Practice address:** EXECUTIVE BLDG, 118 POINT JUDITH RD, NARRAGANSETT, RI 02882-3439
- **Practice address phone:** (401) 783-2937
- **Practice address fax:** (401) 782-3620
- **Mailing address:** EXECUTIVE BLDG, 118 POINT JUDITH RD, NARRAGANSETT, RI 02882-3439
- **Mailing address phone:** (401) 783-2937
- **Mailing address fax:** (401) 782-3620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | DCP00246 | RI | Yes |

## Other

- **Enumeration date:** 07/23/2007
- **Last updated:** 11/19/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 408912 | BLUE CHIP | RI |
| 01 | — | 4400018 | UNITED | RI |
| 01 | — | 9022-5 | BLUE CROSS | RI |