Provider Demographics
NPI:1114224086
Name:CONTOUR FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:CONTOUR FAMILY CHIROPRACTIC LLC
Other - Org Name:CONTOUR CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:A
Authorized Official - Last Name:NEDROW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:803-818-5377
Mailing Address - Street 1:1728 OLD YORK RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:SC
Mailing Address - Zip Code:29745-9458
Mailing Address - Country:US
Mailing Address - Phone:803-818-5377
Mailing Address - Fax:803-818-5379
Practice Address - Street 1:1728 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:SC
Practice Address - Zip Code:29745-9458
Practice Address - Country:US
Practice Address - Phone:803-818-5377
Practice Address - Fax:803-818-5379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-11
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3609111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty