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Dr. Bruce Douglas Mikota, DCCCSP
Chiropractor in Gaffney, South Carolina
NPI 1831126606

Bruce Douglas Mikota is a Chiropractor based in Gaffney, SC. Bruce Douglas Mikota practices in Gaffney, SC and has the professional credentials of DCCCSP. The NPI Number for Bruce Douglas Mikota is 1831126606 and holds a License No. 697 (South Carolina).

The current practice location address for Bruce Douglas Mikota is 111 West Rutledge Avenue, Gaffney, SC and can be reached out via phone at 864-489-2444 and via fax at 864-489-6948.

Location: 111 West Rutledge Avenue, Gaffney, SC, 29342
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831126606
Provider Name
Bruce Douglas Mikota
Credential
DCCCSP
Provider Entity Type
Individual
Gender
Male
Address
111 West Rutledge Avenue, Gaffney, SC, 29342
Phone Number
864-489-2444
Fax Number
864-489-6948
Provider Enumeration Date
06/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CHO697 05 SC
institution
Provider Business Practice Location Address Details
Address
111 West Rutledge Avenue
City
Gaffney
State
South Carolina
Zip
29340
Phone Number
864-489-2444
Fax Number
864-489-6948
person
Provider Business Mailing Address Details
Address
111 West Rutledge Avenue
City
Gaffney
State
South Carolina
Zip
29340
Phone Number
864-489-2444
Fax Number
864-489-6948
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
697 (South Carolina)
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.
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