39 Stripes
Chiropractor in Fort Mill, SC. Organization (NPI-2).
NPI number1386190882
StatusActive
Last updated in NPPESAug 25, 2016
Details
- NPI
- 1386190882
- Entity type
- Organization (NPI-2)
- Legal business name
- 39 Stripes
- Organization subpart
- No
- Enumeration date
- Aug 25, 2016
- Last updated
- Aug 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 3696 | SC | Yes |
Other names
- Regent Park Chiropractic (Doing Business As)
Practice location
8180 Regent Pkwy104
Fort Mill, SC 29715-8417
Phone 803-517-9713
Mailing address
8180 Regent Pkwy104
Fort Mill, SC 29715-8417
Phone 803-517-9713
Authorized official
Adam Henderson
Owner/Doctor
8035179713
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