Organization
ADVANTAGE HEALTHCARE OF SPARTANBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VEN Y KORIKOV DC (OWNER)
(864) 574-6840
Entity
Organization
Contact information
Practice address
1205 JOHN B WHITE SR BLVD, SPARTANBURG, SC 29306-3924
(864) 574-6840
Mailing address
1205 JOHN B WHITE SR BLVD, SPARTANBURG, SC 29306-3924
(864) 574-6840
(864) 494-8281
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GCH332
—
SC
05
—
GP3034
—
SC
Enumeration date
09/20/2006
Last updated
02/01/2024
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