Provider Demographics
NPI:1689857898
Name:COMBS CHIROPRACTIC CARE INC
Entity Type:Organization
Organization Name:COMBS CHIROPRACTIC CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:W BRADFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:COMBS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:803-644-9600
Mailing Address - Street 1:3438 WHISKEY RD
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-9092
Mailing Address - Country:US
Mailing Address - Phone:803-644-9600
Mailing Address - Fax:803-644-8888
Practice Address - Street 1:3438 WHISKEY RD
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-9092
Practice Address - Country:US
Practice Address - Phone:803-644-9600
Practice Address - Fax:803-644-8888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-11
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2983111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC8319Medicare PIN