Organization
NEW COVENANT ENTERPRISE, LLC
Active
Other names
Carolina West Clinic of Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WADE C VERCH DC (CHIROPRACTOR/ OWNER)
(803) 597-5099
Entity
Organization
Contact information
Practice address
1112 CALHOUN ST, NEWBERRY, SC 29108-3445
(803) 597-5099
(803) 597-5106
Mailing address
1112 CALHOUN ST, NEWBERRY, SC 29108-3445
(803) 597-5099
(803) 597-5106
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134575897
INDIVIDUAL NPI
—
Enumeration date
05/29/2019
Last updated
10/24/2019
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