in Myrtle Beach - Chiropractor

- NPI 1083764062

is a Chiropractor in Myrtle Beach, South Carolina. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for is 1083764062. The last update date is .

's current location address is Po Box 1255, Myrtle Beach, South Carolina. You can contact this provider via phone number 8436269340 and fax number 8436269540. The mailing address for is Po Box 1255, Myrtle Beach, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address Po Box 1255, Myrtle Beach, South Carolina
Phone Number 8436269340
Fax Number 8436269540
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1083764062
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address Po Box 1255
City Myrtle Beach
State South Carolina (SC)
Post Code 295781255
Phone Number 8436269340
Fax Number 8436269540

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 2264
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
CH2264 SC --

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