Provider Demographics
NPI:1134310287
Name:WARE, JOHN GILES (DC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:GILES
Last Name:WARE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 W EVANS ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-3409
Mailing Address - Country:US
Mailing Address - Phone:843-662-1026
Mailing Address - Fax:
Practice Address - Street 1:611 W EVANS ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-3409
Practice Address - Country:US
Practice Address - Phone:843-662-1026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC981111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC350049010OtherMEDICARE RAILROAD
SCT235430281Medicare UPIN