Provider Demographics
NPI:1003913328
Name:WORLD CLASS HEALTHCARE PA
Entity Type:Organization
Organization Name:WORLD CLASS HEALTHCARE PA
Other - Org Name:PRO-ADJUSTER CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BARRON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:864-486-8885
Mailing Address - Street 1:106 NETHER LN
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:SC
Mailing Address - Zip Code:29369-9732
Mailing Address - Country:US
Mailing Address - Phone:864-433-0618
Mailing Address - Fax:
Practice Address - Street 1:700 SQUIRE'S PT
Practice Address - Street 2:STE. B
Practice Address - City:DUNCAN
Practice Address - State:SC
Practice Address - Zip Code:29334
Practice Address - Country:US
Practice Address - Phone:864-486-8885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGCH515Medicaid
SC2557OtherSC LISCENSE #
SC2557OtherSC LISCENSE #