Randall J Conger Dc

LBN: Tega Cay Chiropractic - Sports Injury Clinic Inc
Randall J Conger Dc is an health care organization with primary practice located at 101 Stone Village Drive , Fort Mill SC 29708. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Tega Cay Chiropractic - Sports Injury Clinic Inc can be contacted via phone (803) 802-5322, or through Conger, Randall J via phone (803) 802-5322.

Contact Information

Primary practice address
101 Stone Village Drive Fort Mill SC 29708
Fax: (803) 802-5665
Website:
Authorized official contact:
Name: Conger, Randall J DC CCSP

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2295 South Carolina
Chiropractic Providers / Chiropractor 111N00000X 1915 North Carolina

Profile Details

NPI number 1871511766
LBN Legal business name Tega Cay Chiropractic - Sports Injury Clinic Inc
DBA Doing business as Randall J Conger Dc
Authorized official Conger, Randall J DC CCSP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871511766 NPPES
South Carolina MEDICAID CH1916

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