Provider Demographics
NPI:1730601600
Name:SET APART HEALTH LLC
Entity type:Organization
Organization Name:SET APART HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:C
Authorized Official - Last Name:WAITE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:864-558-0711
Mailing Address - Street 1:785 E BUTLER RD
Mailing Address - Street 2:STE D
Mailing Address - City:MAULDIN
Mailing Address - State:SC
Mailing Address - Zip Code:29662
Mailing Address - Country:US
Mailing Address - Phone:864-558-0711
Mailing Address - Fax:864-558-0713
Practice Address - Street 1:785 E BUTLER RD STE D
Practice Address - Street 2:
Practice Address - City:MAULDIN
Practice Address - State:SC
Practice Address - Zip Code:29662-3274
Practice Address - Country:US
Practice Address - Phone:864-558-0711
Practice Address - Fax:864-558-0713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3903111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty