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HEALTHSOURCE OF GREENVILLE-SOUTH
NPI 1235407560
Chiropractor in Greenville, SC

Active since December 01, 2011
104 MAULDIN RD, SUITE G, GREENVILLE, SC 29605(864) 272-0132 Get Directions Write a Review

NPPES record last updated: March 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Healthsource Of Greenville-south NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHSOURCE OF GREENVILLE-SOUTH (NPI 1235407560) is a healthcare organization registered as a chiropractor in Greenville, South Carolina and active in the NPI registry since December 2011. The organization lists Frederic Roedel Mccain, Owner, as its authorized official.

NPPES Registry Identity

NPI1235407560
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameHEALTHSOURCE OF GREENVILLE-SOUTH
Location Address104 MAULDIN RD, SUITE GGreenville, SC 29605-1221
Mailing Address104 Mauldin Rd, Suite GGreenville, SC 29605-1221 · (864) 272-0132
Phone(864) 272-0132
Organization SubpartNo
Authorized OfficialFrederic Roedel MccainOwner · (864) 325-6373
Enumeration DateDecember 1, 2011
Last NPPES UpdateMarch 29, 2012
✔ NPI 1235407560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in SC · 3562
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
104 MAULDIN RD, Greenville, SC 29605
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthsource Of Greenville-South's NPI number?

The NPI number for Healthsource Of Greenville-South is 1235407560. It was assigned to this organization in the NPPES registry on December 1, 2011.

Where is Healthsource Of Greenville-South located?

Healthsource Of Greenville-South is located at 104 Mauldin Rd Suite G, Greenville, SC 29605. The listed phone number is (864) 272-0132.

What is Healthsource Of Greenville-South's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Healthsource Of Greenville-South was last updated on March 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.