Provider Demographics
NPI:1902696099
Name:SERVANT'S HEART CHIROPRACTIC LLC
Entity type:Organization
Organization Name:SERVANT'S HEART CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:MCBURNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:864-381-8136
Mailing Address - Street 1:165 BEAVER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CHESNEE
Mailing Address - State:SC
Mailing Address - Zip Code:29323-8019
Mailing Address - Country:US
Mailing Address - Phone:864-381-8136
Mailing Address - Fax:
Practice Address - Street 1:165 BEAVER CREEK DR
Practice Address - Street 2:
Practice Address - City:CHESNEE
Practice Address - State:SC
Practice Address - Zip Code:29323-8019
Practice Address - Country:US
Practice Address - Phone:864-381-8136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty