Organization
EBNER CHIRORPACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH R EBNER DC (PRESIDENT)
(864) 644-2700
Entity
Organization
Contact information
Practice address
2108 LAURENS RD, GREENVILLE, SC 29607-3222
(864) 616-2675
Mailing address
2108 LAURENS RD, GREENVILLE, SC 29607-3222
(864) 616-2675
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3750
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3750
MEDICAL LICENSE
SC
Enumeration date
05/15/2013
Last updated
05/15/2013
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