Organization
UPSTATE HEALTH PROFESSIONALS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDDIE V BRIDGES DC (CEO)
(864) 804-6612
Entity
Organization
Contact information
Practice address
2084 E MAIN ST, SPARTANBURG, SC 29307-1425
(864) 804-6612
(864) 804-6613
Mailing address
2084 E MAIN ST, SPARTANBURG, SC 29307-1425
(864) 804-6612
(864) 804-6613
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1490
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH1490
—
SC
Enumeration date
03/21/2011
Last updated
03/21/2011
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