Provider Demographics
NPI:1619091824
Name:PARHAM FAMILY WELLNESS CENTER
Entity Type:Organization
Organization Name:PARHAM FAMILY WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:MITCHELL
Authorized Official - Last Name:PARHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:803-547-0588
Mailing Address - Street 1:415 TOM HALL ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29715-2316
Mailing Address - Country:US
Mailing Address - Phone:803-547-0588
Mailing Address - Fax:803-547-0589
Practice Address - Street 1:415 TOM HALL ST
Practice Address - Street 2:SUITE A
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29715-2316
Practice Address - Country:US
Practice Address - Phone:803-547-0588
Practice Address - Fax:803-547-0589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3196111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty