| B.l. Black Clinic Of Chiropractic | |
|
1350 Chuck Dawley Blvd, Mt Pleasant, SC 29464-3380 | |
| (843) 884-3506 | |
| (843) 856-0912 |
| Full Name | B.l. Black Clinic Of Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1350 Chuck Dawley Blvd, Mt Pleasant, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255624136 | NPI | - | NPPES |
| U767900281 | Other | SC | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2276 (South Carolina) | Primary |
| Provider Name | Matthew R Wurst |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801954235 PECOS PAC ID: 0840468534 Enrollment ID: I20110725000333 |
| Mailing Address | Practice Location Address |
|---|---|
| B.l. Black Clinic Of Chiropractic 1350 Chuck Dawley Blvd, Mt Pleasant, SC 29464-3380 Ph: (843) 884-3506 | B.l. Black Clinic Of Chiropractic 1350 Chuck Dawley Blvd, Mt Pleasant, SC 29464-3380 Ph: (843) 884-3506 |
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