Provider Demographics
NPI:1396923900
Name:JONES FAMILY CHIROPRACTIC CLINIC LLC
Entity type:Organization
Organization Name:JONES FAMILY CHIROPRACTIC CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:864-888-4122
Mailing Address - Street 1:100 CENTURY PLAZA
Mailing Address - Street 2:SUITE 4D
Mailing Address - City:SENECA
Mailing Address - State:SC
Mailing Address - Zip Code:29678
Mailing Address - Country:US
Mailing Address - Phone:864-888-4122
Mailing Address - Fax:864-888-4630
Practice Address - Street 1:100 CENTURY PLAZA
Practice Address - Street 2:SUITE 4D
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29678
Practice Address - Country:US
Practice Address - Phone:864-888-4122
Practice Address - Fax:864-888-4630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGCH322Medicaid
SCCH2240Medicaid