Aiken Integrated Medical, PC
Chiropractor, Neurology in Aiken, SC. Organization (NPI-2).
NPI number1184710287
StatusActive
Last updated in NPPESOct 16, 2007
Details
- NPI
- 1184710287
- Entity type
- Organization (NPI-2)
- Legal business name
- Aiken Integrated Medical, PC
- Organization subpart
- No
- Enumeration date
- Oct 5, 2006
- Last updated
- Oct 16, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NN0400X | Chiropractor, Neurology | CH1305 | SC | Yes |
| 111NN0400X | Chiropractor, Neurology | CH2685 | SC | |
| 207Q00000X | Family Medicine | 19409 | SC | |
| 225100000X | Physical Therapist | 4792 | SC |
Practice location
37 Varden DrAiken, SC 29803-5297
Phone 803-644-7897 · Fax 803-643-3026
Mailing address
37 Varden DrAiken, SC 29803-5297
Phone 803-644-7897 · Fax 803-643-3026
Authorized official
Victoria Christensen Hopkins
Administrator
8036447897
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