Organization
GREATER GREENVILLE CHIROPRACTIC, LLC
Active
Other names
Greater Greenville Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY LEE SMITH D.C. (OWNER)
(941) 586-2758
Entity
Organization
Contact information
Practice address
205 BRYCE CIR STE A, SIMPSONVILLE, SC 29681-4842
(941) 586-2758
Mailing address
1431 TORINO ST, NORTH PORT, FL 34287-3987
(941) 586-2758
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4507
STATE LICENSE
SC
Enumeration date
12/18/2019
Last updated
12/18/2019
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