NPI | 1932573797 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDY LOUIS GOINGS Owner/ Chiropractic Physician 864-205-6137 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3044) |
Additional Taxonomies | 1041C0700X Social Worker Clinical |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
2081N0008X Physical Medicine & Rehabilitation Neuromuscular Medicine | |
2081P0004X Physical Medicine & Rehabilitation Spinal Cord Injury Medicine | |
2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
208D00000X General Practice | |
208VP0000X Pain Medicine Pain Medicine | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner Family | |
Enumeration Date | 2015-11-17 |
Last Update Date | 2022-09-12 |