Provider Demographics
NPI:1194886853
Name:BATTERSBY, GREGG
Entity type:Individual
Prefix:
First Name:GREGG
Middle Name:
Last Name:BATTERSBY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7800 HIGHWAY 81 S
Mailing Address - Street 2:
Mailing Address - City:STARR
Mailing Address - State:SC
Mailing Address - Zip Code:29684-8983
Mailing Address - Country:US
Mailing Address - Phone:864-352-2225
Mailing Address - Fax:864-352-2225
Practice Address - Street 1:7800 HIGHWAY 81 S
Practice Address - Street 2:
Practice Address - City:STARR
Practice Address - State:SC
Practice Address - Zip Code:29684-8983
Practice Address - Country:US
Practice Address - Phone:864-352-2225
Practice Address - Fax:864-352-2225
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3011111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor