Organization
CHIROPRACTIC CENTER OF GREATER GREENVILLE
Active
Other names
Upstate Chiropractic Centers
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D GOOLSBY D.C. (PRESIDENT)
(864) 288-9989
Entity
Organization
Contact information
Practice address
2092B WOODRUFF RD, WOODRUFF PROFESSIONAL PARK, GREENVILLE, SC 29607-5939
(864) 288-9989
Mailing address
2092B WOODRUFF RD, WOODRUFF PROFESSIONAL PARK, GREENVILLE, SC 29607-5939
(864) 288-9989
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3001
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG0764
RR MEDICARE GROUP
SC
01
—
P00413494
RR MEDICARE PTAN
SC
Enumeration date
06/12/2006
Last updated
04/08/2008
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