Provider Demographics
NPI:1104202670
Name:BROWN CHIROPRACTIC & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:BROWN CHIROPRACTIC & ASSOCIATES, LLC
Other - Org Name:SOUTHERN PALMS CHIROPRACTIC AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:864-256-1437
Mailing Address - Street 1:210 WESTGATE MALL DR
Mailing Address - Street 2:SUITE 6
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29301-1371
Mailing Address - Country:US
Mailing Address - Phone:864-256-1437
Mailing Address - Fax:864-751-4385
Practice Address - Street 1:210 WESTGATE MALL D1
Practice Address - Street 2:SUITE 6
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-1371
Practice Address - Country:US
Practice Address - Phone:864-256-1437
Practice Address - Fax:864-751-4385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-06
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC23670261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center