Organization
LAND ASSOCIATES LLC
Active
Other names
upstate injury center
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA L CARRANO (OWNER)
(678) 488-4889
Entity
Organization
Contact information
Practice address
2520 WADE HAMPTON BLVD STE B, GREENVILLE, SC 29615-1148
(864) 552-1142
(864) 552-1143
Mailing address
2520 WADE HAMPTON BLVD STE B, GREENVILLE, SC 29615-1148
(864) 552-1142
(864) 552-1143
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
002535
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2535
—
SC
Enumeration date
08/24/2011
Last updated
10/04/2017
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