Provider Demographics
NPI:1164823803
Name:PROMOTION CHIROPRACTIC AND THERAPEUTICS LLC
Entity type:Organization
Organization Name:PROMOTION CHIROPRACTIC AND THERAPEUTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:TURPIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-270-7014
Mailing Address - Street 1:717 OLD TROLLEY RD STE 6
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-5287
Mailing Address - Country:US
Mailing Address - Phone:843-489-1672
Mailing Address - Fax:843-589-1102
Practice Address - Street 1:115 NEW SPRING CT
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-5245
Practice Address - Country:US
Practice Address - Phone:843-489-1672
Practice Address - Fax:843-589-1102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-12
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4013111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1538589585OtherNATIONAL PROVIDER IDENTIFIER FOR GREG TURPIN DC INDIVIDUAL NPI