Provider Demographics
NPI:1659680304
Name:MCALISTER COURT SPINE & REHAB
Entity Type:Organization
Organization Name:MCALISTER COURT SPINE & REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STOOKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-232-0993
Mailing Address - Street 1:1607 LAURENS RD STE 110
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-2961
Mailing Address - Country:US
Mailing Address - Phone:864-232-0993
Mailing Address - Fax:864-232-0956
Practice Address - Street 1:1607 LAURENS RD STE 110
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-2961
Practice Address - Country:US
Practice Address - Phone:864-232-0993
Practice Address - Fax:864-232-0956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-29
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty