Provider Demographics
NPI:1457916561
Name:AFTER HOURS CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:AFTER HOURS CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTORE
Authorized Official - Prefix:DR
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:DEMOND
Authorized Official - Last Name:KILGORE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:864-627-3113
Mailing Address - Street 1:101 LEAKE DR
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-7142
Mailing Address - Country:US
Mailing Address - Phone:864-201-9511
Mailing Address - Fax:
Practice Address - Street 1:1200 WOODRUFF RD BLG A-3
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607
Practice Address - Country:US
Practice Address - Phone:864-627-3113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-03
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty