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100 Chiro Livingood Fraedrich PC LLC

Chiropractor in Greenville, SC. Organization (NPI-2).

NPI number1487325213
StatusActive
Last updated in NPPESSep 27, 2023

Details

NPI
1487325213
Entity type
Organization (NPI-2)
Legal business name
100 Chiro Livingood Fraedrich PC LLC
Organization subpart
No
Enumeration date
Sep 22, 2021
Certification date
Sep 27, 2023
Last updated
Sep 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes

Practice location

8 W Lewis Plz
Greenville, SC 29605-2940

Phone 864-283-6014

Mailing address

8 W Lewis Plz
Greenville, SC 29605-2940

Authorized official

Brandon Livingood
PC
7192445142

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