The Upstate Clinic of Specific Chir
NPI #1679787618 in Easley, South Carolina
Provider Information
- NPI Number
- 1679787618
- Entity Type
- Organization
- Organization Name
- The Upstate Clinic of Specific Chir
- Primary Specialty
- Chiropractor
- Enumeration Date
- May 9, 2007
- Last Updated
- Nov 28, 2007
Practice Location
- Address
- 838 POWDERSVILLE RD
- Address 2
- SUITE R
- City
- Easley
- State
- South Carolina
- ZIP Code
- 29642-3703
- Phone
- (864) 855-3255
Authorized Official
- Name
- STEPHEN A CONICELLO, D.C.
- Title
- PRESIDENT
- Phone
- (864) 855-3255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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