Organization
THE UPSTATE CLINIC OF SPECIFIC CHIR
Active
Other names
The Upstate Clinic of Specific Chiropractic, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN A CONICELLO D.C. (PRESIDENT)
(864) 855-3255
Entity
Organization
Contact information
Practice address
838 POWDERSVILLE RD, SUITE R, EASLEY, SC 29642-3703
(864) 855-3255
(864) 855-3254
Mailing address
838 POWDERSVILLE RD, SUITE R, EASLEY, SC 29642-3703
(864) 855-3255
(864) 855-3254
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2941
SC
111N00000X
Chiropractor
3243
SC
Other
Enumeration date
05/09/2007
Last updated
11/28/2007
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