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Bountyland Medical Center LLC

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

NPI number1689779688
StatusActive
Last updated in NPPESSep 26, 2018

Details

NPI
1689779688
Entity type
Organization (NPI-2)
Legal business name
Bountyland Medical Center LLC
Organization subpart
No
Enumeration date
Sep 14, 2006
Last updated
Sep 26, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor719SCYes

Practice location

1741 Blue Ridge Blvd
Seneca, SC 29672-6613

Phone 864-882-6395 · Fax 864-882-9248

Mailing address

1741 Blue Ridge Blvd
Seneca, SC 29672-6613

Phone 864-882-6395 · Fax 864-882-9248

Authorized official

Paul R Johnson
Owner-Chiropractor
8648826395

Is something wrong?

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Other Chiropractor providers in Seneca, SC

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