Provider Demographics
NPI:1386032829
Name:CHINERY, ADAM M
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:M
Last Name:CHINERY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 POINSETT HWY
Mailing Address - Street 2:FURMAN UNIVERSITY SPORTS MEDICINE
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29613-1869
Mailing Address - Country:US
Mailing Address - Phone:864-294-3535
Mailing Address - Fax:864-294-3597
Practice Address - Street 1:3300 POINSETT HWY
Practice Address - Street 2:FURMAN UNIVERSITY SPORTS MEDICINE
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29613-1869
Practice Address - Country:US
Practice Address - Phone:864-294-3535
Practice Address - Fax:864-294-3597
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-07
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13872255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer