Organization
ADVANCED CARE CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW JOSEPH KASIC JR. (PRESIDENT)
(803) 366-8600
Entity
Organization
Contact information
Practice address
1430 EBENEZER RD, STE 101, ROCK HILL, SC 29732-2744
(803) 366-8600
(803) 366-8877
Mailing address
1430 EBENEZER RD, STE 101, ROCK HILL, SC 29732-2744
(803) 366-8600
(803) 366-8877
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2504
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2504
—
SC
Enumeration date
11/13/2006
Last updated
10/07/2010
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