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Organization
GREENVILLE NECK & BACK, INC.
Active
Organization
GREENVILLE NECK & BACK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA POTERE (VICE PRESIDENT)
(517) 442-5545
Entity
Organization
Contact information
Practice address
1099 E BUTLER RD STE 107G, GREENVILLE, SC 29607-6539
(517) 902-6677
Mailing address
1099 E BUTLER RD STE 107G, GREENVILLE, SC 29607-6539
(517) 902-6677
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008766
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4747916
—
MI
01
—
950D610950
BCBS
MI
Enumeration date
04/24/2007
Last updated
11/13/2012
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