Provider Demographics
NPI:1922204197
Name:DR. PATRICIA ROWE
Entity Type:Organization
Organization Name:DR. PATRICIA ROWE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:864-292-1961
Mailing Address - Street 1:3575 RUTHERFORD ROAD EXT. SUITE C
Mailing Address - Street 2:
Mailing Address - City:TAYLORS
Mailing Address - State:SC
Mailing Address - Zip Code:29687
Mailing Address - Country:US
Mailing Address - Phone:864-292-1961
Mailing Address - Fax:
Practice Address - Street 1:3575 RUTHERFORD ROAD EXT STE C
Practice Address - Street 2:
Practice Address - City:TAYLORS
Practice Address - State:SC
Practice Address - Zip Code:29687-2168
Practice Address - Country:US
Practice Address - Phone:864-292-1961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC813111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCT24996Medicare UPIN