Doctor Name: | MARK S YARBOROUGH |
NPI Number: | 1902834047 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 1182 |
Business Practice Address: | 611 E Wade Hampton Blvd Suite B Greer, SC - 296511547 |
Business Phone Number: | 8648772042 |
Business Fax Number: | |
Mailing Address: | 611 E Wade Hampton Blvd, Suite B GREER |
State: | SC |
Postal Code: | 296511547 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/29/2006 |
NPI Last Update Date: | 02/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 11/24/2010 |
NPI Reactivation Date: | 02/02/2011 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 1182 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |