# UPSTATE SPINE & JOINT, LLC.

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

## Provider details

- **NPI number:** 1366953762
- **Authorized official:** WAYNE G LANEY DC (CHIROPRACTOR)
- **Authorized official phone:** (864) 801-1980

## Contact information

- **Practice address:** 3115 BRUSHY CREEK RD STE C-2, GREER, SC 29650-0903
- **Practice address phone:** (864) 801-1980
- **Practice address fax:** (864) 801-1312
- **Mailing address:** 3115 BRUSHY CREEK RD STE C-2, GREER, SC 29650-0903
- **Mailing address phone:** (864) 801-1980
- **Mailing address fax:** (864) 801-1312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | SC | — |
| 207R00000X | Internal Medicine Physician | — | SC | Yes |
| 225100000X | Physical Therapist | — | SC | — |

## Other

- **Enumeration date:** 10/12/2017
- **Last updated:** 03/17/2018