Provider Demographics
NPI:1598854499
Name:RESULTS CHIROPRACTIC CENTRE INC
Entity Type:Organization
Organization Name:RESULTS CHIROPRACTIC CENTRE INC
Other - Org Name:FLOWERTOWN CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:MENNETTI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-871-7003
Mailing Address - Street 1:P.O. BOX 3108
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29484
Mailing Address - Country:US
Mailing Address - Phone:843-871-7003
Mailing Address - Fax:843-871-0882
Practice Address - Street 1:137 EAST 2ND NORTH STREET
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483
Practice Address - Country:US
Practice Address - Phone:843-871-7003
Practice Address - Fax:843-871-0882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCH1793Medicaid
SCGCH123Medicaid
SCCH1793Medicaid
SC0281Medicare PIN