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Organization
THE UPSTATE CLINIC OF SPECIFIC CHIR
Active
Organization
THE UPSTATE CLINIC OF SPECIFIC CHIR
Active
Other names
The Upstate Clinic of Specific Chiropractic, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN A CONICELLO D.C. (PRESIDENT)
(864) 855-3255
Entity
Organization
Contact information
Practice address
838 POWDERSVILLE RD, SUITE R, EASLEY, SC 29642-3703
(864) 855-3255
(864) 855-3254
Mailing address
838 POWDERSVILLE RD, SUITE R, EASLEY, SC 29642-3703
(864) 855-3255
(864) 855-3254
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2941
SC
111N00000X
Chiropractor
3243
SC
Other
Enumeration date
05/09/2007
Last updated
11/28/2007
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