Organization
JON K BERGRIN DC PA
Active
Other names
family neck and back center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON KEITH BERGRIN DC (PRESIDENT CEO)
(843) 662-4341
Entity
Organization
Contact information
Practice address
405 S EBENEZER RD, FLORENCE, SC 29501-7916
(843) 662-4341
(843) 679-3060
Mailing address
405 S EBENEZER RD, FLORENCE, SC 29501-7916
(843) 662-4341
(843) 679-3060
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1184
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285608208
INDIVIDUAL NPI
SC
05
—
CH1184
—
SC
Enumeration date
03/16/2006
Last updated
08/22/2020
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