Provider Demographics
NPI:1154744589
Name:STALMACK CHIROPRACTIC
Entity type:Organization
Organization Name:STALMACK CHIROPRACTIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:STALMACK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:864-297-6270
Mailing Address - Street 1:14 E BUTLER RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:MAULDIN
Mailing Address - State:SC
Mailing Address - Zip Code:29662
Mailing Address - Country:US
Mailing Address - Phone:864-297-6270
Mailing Address - Fax:864-288-9010
Practice Address - Street 1:14 E BUTLER RD
Practice Address - Street 2:SUITE C
Practice Address - City:MAULDIN
Practice Address - State:SC
Practice Address - Zip Code:29662
Practice Address - Country:US
Practice Address - Phone:864-297-6270
Practice Address - Fax:864-288-9010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-21
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty