| Carolina Active Health Chiropractic, Inc. | |
|
800 E Washington St Ste B, Greenville, SC 29601-3054 | |
| (864) 881-2242 | |
| (864) 881-0361 |
| Full Name | Carolina Active Health Chiropractic, Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 800 E Washington St Ste B, Greenville, 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 |
|---|---|---|---|
| 1215310156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4054 (South Carolina) | Primary |
| Provider Name | Michael R Nelson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861875700 PECOS PAC ID: 5890003206 Enrollment ID: I20151006000029 |
| Provider Name | Kyle Yates |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417545674 PECOS PAC ID: 5496161564 Enrollment ID: I20210316000377 |
| Provider Name | Ryan J Gavin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922474592 PECOS PAC ID: 2668871583 Enrollment ID: I20231212003663 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Active Health Chiropractic, Inc. 800 E Washington St Ste B, Greenville, SC 29601-3054 Ph: (864) 881-2242 | Carolina Active Health Chiropractic, Inc. 800 E Washington St Ste B, Greenville, SC 29601-3054 Ph: (864) 881-2242 |
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