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Organization
UPPER CERVICAL LLC
Active
Organization
UPPER CERVICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN D DESHIELDS DC (PARTNER)
(864) 855-3255
Entity
Organization
Contact information
Practice address
1008 MILL ST, CAMDEN, SC 29020-4421
(864) 855-3255
Mailing address
838 POWDERSVILLE RD STE R, EASLEY, SC 29642-3703
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2896
SC
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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