Organization
OLD MILL CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC NAZARENKO DC (OWNER)
(803) 808-0711
Entity
Organization
Contact information
Practice address
711 E MAIN ST STE L2, LEXINGTON, SC 29072-3670
(803) 808-0711
(803) 808-0713
Mailing address
711 E MAIN ST STE L2, LEXINGTON, SC 29072-3670
(803) 808-0711
(803) 808-0713
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3572
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841518735
PERSONAL NPI
SC
Enumeration date
06/25/2014
Last updated
06/25/2014
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