Organization
AUGUSTA STREET CLINIC LLC
Active
Other names
Augusta Street Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER STEVEN JAYNES (OWNER)
(864) 232-0082
Entity
Organization
Contact information
Practice address
1521 AUGUSTA ST, GREENVILLE, SC 29605-2921
(864) 232-0082
(864) 232-1884
Mailing address
1521 AUGUSTA ST, GREENVILLE, SC 29605-2921
(864) 232-0082
(864) 232-1884
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1108
SC
Other
Enumeration date
09/07/2005
Last updated
06/27/2008
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