| Columbia Family Chiropractic Northeast Llc | |
|
124 N Brickyard Rd, Columbia, SC 29223-6902 | |
| (800) 788-8831 | |
| Not Available |
| Full Name | Columbia Family Chiropractic Northeast Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 124 N Brickyard Rd, Columbia, 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 |
|---|---|---|---|
| 1407569049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 111NI0013X | Chiropractor - Independent Medical Examiner | (* (Not Available)) | Secondary |
| Provider Name | Thomas J Stetson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669786729 PECOS PAC ID: 9032305453 Enrollment ID: I20101124001014 |
| Provider Name | Allison C Kloss |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063908796 PECOS PAC ID: 0840541751 Enrollment ID: I20180914002308 |
| Provider Name | Sydney E Mcneill |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063908069 PECOS PAC ID: 1153672472 Enrollment ID: I20180926001856 |
| Provider Name | Randy B Kloss |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669942637 PECOS PAC ID: 6901149418 Enrollment ID: I20190528000048 |
| Provider Name | Courtney L Dexter |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013620335 PECOS PAC ID: 1658738703 Enrollment ID: I20230605001437 |
| Provider Name | Taylor Watkins |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811679582 PECOS PAC ID: 0042667107 Enrollment ID: I20231110000738 |
| Provider Name | Kelsey Fierke |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1447855796 PECOS PAC ID: 4385057405 Enrollment ID: I20240108003416 |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Family Chiropractic Northeast Llc 124 N Brickyard Rd, Columbia, SC 29223-6902 Ph: (803) 788-8831 | Columbia Family Chiropractic Northeast Llc 124 N Brickyard Rd, Columbia, SC 29223-6902 Ph: (800) 788-8831 |
Dr. Li Huang, D.C., DILP., AC. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 128 Leisure Ln, Columbia, SC 29210 Phone: 803-750-0040 Fax: 803-750-9626 | |
Restore Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 9016 Farrow Rd Ste B, Columbia, SC 29203 Phone: 803-699-8171 | |
Dr. Courtney Lynn Dexter, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 224 Oneil Ct Ste 21, Columbia, SC 29223 Phone: 803-788-8831 Fax: 803-788-8846 | |
Dr. Katelyn Prakash, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 3009 Millwood Ave Ste 200, Columbia, SC 29205 Phone: 803-851-5450 | |
Dr. Virginia Kaye Samuel, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2757 Laurel St, Suite 4, Columbia, SC 29204 Phone: 803-252-4966 Fax: 803-252-1984 | |
Walter S Allen, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 260 Graces Way, Columbia, SC 29229 Phone: 803-736-3700 Fax: 803-708-7123 | |
Oasis Physical Medicine & Rehabilitation Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4010 North Main Street, Suite 2, Columbia, SC 29203 Phone: 803-786-2300 Fax: 803-786-1307 |