Provider Demographics
NPI:1235167438
Name:SINK, ANGELA HRYSIKOS (DC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:HRYSIKOS
Last Name:SINK
Suffix:
Gender:F
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:PALMETTO CLINIC OF CHIROPRACTIC LLC
Mailing Address - Street 2:4200 E NORTH ST UNIT 6
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-2437
Mailing Address - Country:US
Mailing Address - Phone:864-244-4123
Mailing Address - Fax:864-244-6879
Practice Address - Street 1:4200 E NORTH ST
Practice Address - Street 2:UNIT 6
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-2437
Practice Address - Country:US
Practice Address - Phone:864-244-4123
Practice Address - Fax:864-244-6879
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2964111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCAA1135028Medicare ID - Type UnspecifiedPROVIDER NUMBER