Individual
PRINCESS CHATEIM PORTER-FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
450 E KENNEDY ST, SPARTANBURG, SC 29302-1916
(864) 585-4564
(864) 585-5614
Mailing address
PO BOX 3443, SPARTANBURG, SC 29304-3443
(864) 585-4564
(864) 585-5614
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2762
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2762
—
SC
05
—
GCH460
—
SC
Enumeration date
03/22/2006
Last updated
03/21/2013
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