Provider Demographics
NPI:1255662706
Name:1ST STOP PAIN RELIEF CENTER, LLC
Entity Type:Organization
Organization Name:1ST STOP PAIN RELIEF CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:GOINGS
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:864-205-6137
Mailing Address - Street 1:1030 EDWARDS ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-2549
Mailing Address - Country:US
Mailing Address - Phone:803-980-3434
Mailing Address - Fax:
Practice Address - Street 1:1030 EDWARDS ST
Practice Address - Street 2:SUITE 109
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-2549
Practice Address - Country:US
Practice Address - Phone:803-980-3434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-22
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty