Organization
COMMUNITY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN MILES MOBLEY D.C. (OWNER)
(864) 859-7900
Entity
Organization
Contact information
Practice address
1097 S PENDLETON ST, EASLEY, SC 29642-1050
(864) 859-7900
(864) 859-7999
Mailing address
1097 S PENDLETON ST, EASLEY, SC 29642-1050
(864) 859-7900
(864) 859-7999
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3368
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205909009
INDIVIDUAL NPI
SC
01
—
AA32600281
MEDICARE PTAN
SC
01
—
P00641082
MEDICARE RAILROAD PTAN
—
Enumeration date
04/02/2009
Last updated
04/02/2009
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