Organization
FIELDS CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MICHAEL FIELDS D.C. (OWNER)
(803) 787-7050
Entity
Organization
Contact information
Practice address
3930 DEVINE ST, COLUMBIA, SC 29205-2804
(803) 787-7050
(803) 787-0502
Mailing address
3930 DEVINE ST, COLUMBIA, SC 29205-2804
(803) 787-7050
(803) 787-0502
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2168
SC
111N00000X
Chiropractor
Primary
2603
SC
111N00000X
Chiropractor
900
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ9512
MEDICARE RAILROAD
SC
05
—
GCH274
—
SC
Enumeration date
12/22/2006
Last updated
09/23/2014
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