Organization
ELITE SPINE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINIC GENO LUPORI DC (DOCTOR OF CHIROPRACTIC)
(719) 201-3882
Entity
Organization
Contact information
Practice address
20 CREEKVIEW CT STE B, GREENVILLE, SC 29615-4800
(864) 203-5388
Mailing address
603 RIVERSIDE CHASE CIR, GREER, SC 29650-2521
(719) 201-3882
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
09/14/2022
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