Advanced Chiropractic Center in Georgetown - Chiropractor
Advanced Chiropractic Center - NPI 1083882054
Advanced Chiropractic Center is a Chiropractor in Georgetown, South Carolina. Advanced Chiropractic Center practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Advanced Chiropractic Center is 1083882054. The last update date is 2008-07-16.
Advanced Chiropractic Center's current location address is Post Office Box 958, Georgetown, South Carolina. You can contact this provider via phone number 8435451396 and fax number 8435278353. The mailing address for Advanced Chiropractic Center is Post Office Box 958, Georgetown, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Chiropractic Center |
|---|---|
| Address | Post Office Box 958, Georgetown, South Carolina |
| Phone Number | 8435451396 |
| Fax Number | 8435278353 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jordan W Kenneth |
| Credentials | DC |
| Telephone Number | 8435451396 |
NPI Number Detail
| NPI Number | 1083882054 |
|---|---|
| Provider Enumeration Date | 2008-02-13 |
| Last Updated Date | 2008-07-16 |
Provider Mailing Address Detail
| Address | Post Office Box 958 |
|---|---|
| City | Georgetown |
| State | South Carolina (SC) |
| Post Code | 29440 |
| Phone Number | 8435451396 |
| Fax Number | 8435278353 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3056 |
|
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 inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GCH507 | SC | MEDICAID GRP # | |
| CH3056 | SC | -- |
Post Comment/ Review Below
What is the Advanced Chiropractic Center's 1083882054?
The Advanced Chiropractic Center's NPI (National Provider Identifier) Number is 1083882054. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Advanced Chiropractic Center's physical address?
The Advanced Chiropractic Center is physically located at Post Office Box 958, in the city of Georgetown, SC, with the postal code 29440.
What is Advanced Chiropractic Center's area of expertise and its corresponding taxonomy classification?
The Advanced Chiropractic Center's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083882054 to Advanced Chiropractic Center?
The Centers for Medicare & Medicaid Services originally issued the 1083882054 to Advanced Chiropractic Center on 2008-02-13.
As of what date was the information pertaining to Advanced Chiropractic Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Advanced Chiropractic Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-07-16.
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