NPI 1336133313 · live from the CMS NPI Registry
Augusta Street Clinic LLC
Chiropractor in Greenville, SC. National Provider Identifier 1336133313, active.
NPI record
| NPI | 1336133313 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1521 Augusta St, Greenville, SC 29605 |
| Practice phone | 864-232-0082 |
| Enumerated | September 7, 2005 |
| Last updated | June 27, 2008 |
| Authorized official | Roger Jaynes, Owner |
| Other names | Augusta Street Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 1108 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.