JACKSON CHIROPRACTIC LLC (NPI# 1952731531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952731531 |
| Entity Type | Organization |
| Organization Name | JACKSON CHIROPRACTIC LLC |
| Practice Address |
147 Main Street Wagener SC 29164 |
| Mailing Address |
Po Box 125 Wagener SC 29164-0125 |
| Practice Telephone | 8035646000 |
| Practice Fax Number | 8035646011 |
| Mailing Telephone | 8035646000 |
| Mailing Fax Number | 8035646011 |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2015-11-09 |
| Authorized Official Name | BRANDY JACKSON STROMAN (CHIROPRACTOR) |
| Authorized Official Telephone | 8035646000 |
| Authorized Official Credential | D.C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3479 | SC | Chiropractic Providers |
| Street Address |
147 MAIN STREET |
| City | WAGENER |
| State | SC |
| Zip Code | 29164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750687513 | Brandy Jackson | Chiropractor | 147 Main Street, Wagener, SC 29164-9442 | 2011-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902317241 | Bela Family Dentistry of Wagener | Dentist | 112 Louie Street, Wagener, SC 29164 | 2017-10-13 |
| 1629463575 | H and M Healthcare | Durable Medical Equipment & Medical Supplies | 123 A Earl Street, Wagener, SC 29164 | 2015-03-30 |
| 1740602374 | Stephanie Grant | Registered Nurse | 20 A L Corbett Circle, Wagener, SC 29164 | 2014-01-16 |
| 1952738379 | Lexcaregivers LLC | In Home Supportive Care | 32 W Pine Circle, Wagener, SC 29164 | 2013-09-30 |
| 1255766986 | Virginia A Johnson | Health Educator | 32 W. Pine Circle, Wagener, SC 29164 | 2013-09-12 |
| 1811173602 | Carolina Cataract Clinic | Ophthalmology | 149 North Main Street, Wagener, SC 29164 | 2008-01-11 |
| 1689750572 | Julian Harrison Fair IIi | Dentist | Julian H. Fair 111,dmd,p.a., 112 Louie Street, 112 Louie Street, Wagener, SC 29164 | 2006-10-31 |
| 1124103536 | Rufus B. Antley, Od | Optometrist | 149 N. Main St, Wagener, SC 29164 | 2006-10-25 |
| 1093803934 | Clarence Williams Jr. | Dentist | 275 South Main Street, Wagener, SC 29164 | 2006-10-10 |
| 1902164171 | Dr. Vasant L. Garde | Clinic/Center | 120 Louie Street, Wagener, SC 29164 | 2012-04-25 |
| Find all providers in zip 29164 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750687513 | Brandy Jackson | Chiropractor | 147 Main Street, Wagener, SC 29164-9442 | 2011-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314718 | Evan Patrick Mcmillion | Chiropractor | 149 E Bay St Ste 100, Charleston, SC 29401-2163 | 2020-10-23 |
| 1851908511 | Rachael Pratt | Chiropractor | 1463 E Main St Ste A, Spartanburg, SC 29307-2246 | 2020-09-28 |
| 1417563172 | Kevin Cook | Chiropractor | 135 Duraleigh Rd, Anderson, SC 29621-3780 | 2020-09-18 |
| 1720603699 | Ronald Lee Armold | Chiropractor | 1524 John B. White Senior Suite 2, Spartanburg, SC 29301-2930 | 2020-06-16 |
| 1932722808 | Cota Care Chiropractic and Wellness, LLC | Chiropractor | 1060 Boiling Springs Rd Ste 2, Spartanburg, SC 29303-2236 | 2020-05-26 |
| 1588287601 | William Craig Hewitt | Chiropractor | 14 Airport Rd, Greenville, SC 29607-2528 | 2020-05-22 |
| 1740802602 | Valerie Dowis | Chiropractor | 1211 Newcastle St Ste C, Beaufort, SC 29902-4186 | 2020-05-14 |
| 1023637659 | Jordan Thomas Reizer I | Chiropractor | 11 E Calhoun St, Sumter, SC 29150-4315 | 2020-04-14 |
| 1770102980 | Christopher B Gardner | Chiropractor | 205 N Irby St Ste B, Florence, SC 29501-2805 | 2020-04-09 |
| 1841824851 | Whiplash Pain Center | Chiropractor | 907 Miles Jamison Rd Ste 4, Summerville, SC 29485-8705 | 2020-02-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.