Organization
HEALTHSOURCE OF GREENVILLE-SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERIC ROEDEL MCCAIN JR. D.C. (OWNER)
(864) 325-6373
Entity
Organization
Contact information
Practice address
104 MAULDIN RD, SUITE G, GREENVILLE, SC 29605-1221
(864) 272-0132
Mailing address
104 MAULDIN RD, SUITE G, GREENVILLE, SC 29605-1221
(864) 272-0132
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3562
SC
Other
Enumeration date
12/01/2011
Last updated
03/29/2012
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