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Organization

GREENVILLE NECK & BACK, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNA POTERE (VICE PRESIDENT)
(517) 442-5545
Entity
Organization

Contact information

Practice address
1099 E BUTLER RD STE 107G, GREENVILLE, SC 29607-6539
(517) 902-6677
Mailing address
1099 E BUTLER RD STE 107G, GREENVILLE, SC 29607-6539
(517) 902-6677

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008766
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4747916
MI
01
950D610950
BCBS
MI
Enumeration date
04/24/2007
Last updated
11/13/2012
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