Provider Demographics
NPI:1457671224
Name:HEALTHSOURCE CAYCE, LLC
Entity Type:Organization
Organization Name:HEALTHSOURCE CAYCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:G
Authorized Official - Last Name:CAREW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:803-252-0108
Mailing Address - Street 1:PO BOX 1771
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29202-1771
Mailing Address - Country:US
Mailing Address - Phone:803-252-0108
Mailing Address - Fax:803-256-6629
Practice Address - Street 1:2001 C FISH HATCHERY ROAD
Practice Address - Street 2:
Practice Address - City:CAYCE
Practice Address - State:SC
Practice Address - Zip Code:29033
Practice Address - Country:US
Practice Address - Phone:803-252-0108
Practice Address - Fax:803-256-6629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty