# UPSTATE BRAIN AND SPINE LLC

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

## Provider details

- **NPI number:** 1164193231
- **Authorized official:** DR. JONATHAN WARD DC (OWNER)
- **Authorized official phone:** (828) 702-1678

## Contact information

- **Practice address:** 10471 ASHEVILLE HWY STE 12, INMAN, SC 29349-9324
- **Practice address phone:** (828) 702-1678
- **Mailing address:** 810 SPEAKEASY LN, INMAN, SC 29349-8337
- **Mailing address phone:** (828) 702-1678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN0400X | Neurology Chiropractor | — | NULL | Yes |
| 111NN0400X | Neurology Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 09/28/2021
- **Last updated:** 09/28/2021