EVERGREEN FAMILY CHIROPRACTIC, LLC (NPI# 1639691835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639691835 |
| Entity Type | Organization |
| Organization Name | EVERGREEN FAMILY CHIROPRACTIC, LLC |
| Practice Address |
14 E Butler Rd Mauldin SC 29662-2402 |
| Practice Telephone | (864) 297-6270 |
| Practice Fax Number | 8645099378 |
| Mailing Telephone | 8642976270 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-07-10 |
| Authorized Official Name | DR. CAROLYN M DESIMONE (CHIROPRACTOR/OWNER) |
| Authorized Official Telephone | 8642976270 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
14 E BUTLER RD |
| City | MAULDIN |
| State | SC |
| Zip Code | 29662-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790123461 | Carolyn M Desimone | Chiropractor | 14 E Butler Rd, Mauldin, SC 29662-2402 | 2013-06-04 |
| 1154744589 | Stalmack Chiropractic | Chiropractor | 14 E Butler Rd, Suite C, Mauldin, SC 29662 | 2014-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154862399 | Connie Painter | Behavior Technician | 103 Miller Rd, Mauldin, SC 29662 | 2017-03-20 |
| 1073061610 | Lisa Rist | Counselor | 400 South Main St Suite C, Mauldin, SC 29662 | 2016-09-12 |
| 1285181347 | Jennifer Wise | Specialist/Technologist | 310 Neely Ferry Road, Mauldin, SC 29662 | 2016-09-07 |
| 1467908236 | Maan Aziz Kerzzo | Pharmacist | 129 West Butler Road, Mauldin, SC 29662 | 2016-08-31 |
| 1083011357 | Southeast Transportation Services LLC | Non-emergency Medical Transport (VAN) | 411 N. Main St., Mauldin, SC 29662 | 2014-12-02 |
| 1174926471 | Holly Christine Waite | Chiropractor | 785 E Butler Rd, Ste D, Mauldin, SC 29662 | 2014-09-30 |
| 1194138701 | Vanessa Vance-logan | Case Manager/Care Coordinator | 400 West Butler Road; Suite B-1, Mauldin, SC 29662 | 2014-06-11 |
| 1265771984 | Connie Mae Lenagh | Nurse Practitioner | 924 E. Butler Rd, Mauldin, SC 29662 | 2013-02-01 |
| 1679823918 | Linda W Gerhart | Pharmacist | 224 East Butler Rd, Mauldin, SC 29662 | 2012-09-13 |
| 1114277894 | David Merz Banks | Pharmacist | 315 West Butler Rd, Mauldin, SC 29662 | 2012-09-11 |
| Find all providers in zip 29662 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730601600 | Set Apart Health LLC | Chiropractor | 785 E Butler Rd Ste D, Mauldin, SC 29662-3274 | 2017-07-12 |
| 1174926471 | Holly Christine Waite | Chiropractor | 785 E Butler Rd, Ste D, Mauldin, SC 29662 | 2014-09-30 |
| 1790123461 | Carolyn M Desimone | Chiropractor | 14 E Butler Rd, Mauldin, SC 29662-2402 | 2013-06-04 |
| 1336475854 | Nicholas Adrian Hightower | Chiropractor | 14 E Butler Rd Ste C, Mauldin, SC 29662-2402 | 2009-10-19 |
| 1982823563 | Eiken Enterprises Inc | Chiropractor | 117 E Butler Rd, Mauldin, SC 29662-2103 | 2007-04-24 |
| 1932323128 | Live Well Chiropractic Pa | Chiropractor | 140 Bridges Rd, Suite A, Mauldin, SC 29662-3259 | 2007-04-12 |
| 1821131970 | Matthew James Eiken | Chiropractor | 213 E Butler Rd Ste D2, Mauldin, SC 29662-2172 | 2007-02-15 |
| 1225063662 | Manuel Alberto Izquierdo | Chiropractor | 140a Bridges Rd, Live Well Chiropractic, Mauldin, SC 29662 | 2006-07-12 |
| 1336110618 | The Chiropractic Center of Mauldin Inc. | Chiropractor | 14c E Butler Rd, Mauldin, SC 29662-2402 | 2006-01-27 |
| 1710534730 | Jay B Leidy | Chiropractor | 140 Bridges Rd, Mauldin, SC 29662-3259 | 2019-08-23 |
| Find all providers in MAULDIN | ||||
Please comment or provide details below to improve the information on EVERGREEN FAMILY CHIROPRACTIC, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.