Provider Demographics
NPI:1346731015
Name:MEMMINGER CHIROPRACTIC CENTER
Entity type:Organization
Organization Name:MEMMINGER CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:MORRIS
Authorized Official - Last Name:MEMMINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:864-586-0656
Mailing Address - Street 1:113 WILEY ST
Mailing Address - Street 2:
Mailing Address - City:WALTERBORO
Mailing Address - State:SC
Mailing Address - Zip Code:29488-3046
Mailing Address - Country:US
Mailing Address - Phone:864-586-0656
Mailing Address - Fax:
Practice Address - Street 1:101 LANDS END RD
Practice Address - Street 2:
Practice Address - City:WALTERBORO
Practice Address - State:SC
Practice Address - Zip Code:29488-3748
Practice Address - Country:US
Practice Address - Phone:864-586-0656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-29
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4206111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0900XChiropractic ProvidersChiropractorInternistGroup - Single Specialty