Organization
SOUTHEASTERN CHIROPRACTIC CENTER P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS RANDAL HINSON DC, CCSP (OWNER)
(803) 553-3368
Entity
Organization
Contact information
Practice address
6420 GARNERS FERRY RD, COLUMBIA, SC 29209-1632
(803) 553-3368
Mailing address
PO BOX 11596, COLUMBIA, SC 29211-1596
(803) 553-3368
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1581
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578629861
NPI INDIVIDUAL
SC
Enumeration date
08/07/2014
Last updated
10/15/2014
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