Corrective Chiropractic- Charleston Llc | |
1131 Queensborough Blvd Ste 101, Mt Pleasant, SC 29464-5430 | |
(843) 972-3174 | |
Not Available |
Full Name | Corrective Chiropractic- Charleston Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 1131 Queensborough Blvd Ste 101, 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 |
---|---|---|---|
1396389060 | NPI | - | NPPES |
1083194195 | Other | NPI | |
1235619354 | Other | SC | NPI |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Brandon Carroll |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1083194195 PECOS PAC ID: 0547697567 Enrollment ID: I20200303001249 |
Mailing Address | Practice Location Address |
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Corrective Chiropractic- Charleston Llc 1217 Iron Bridge Dr Ste 101, Mt Pleasant, SC 29466-7408 Ph: (843) 972-3174 | Corrective Chiropractic- Charleston Llc 1131 Queensborough Blvd Ste 101, Mt Pleasant, SC 29464-5430 Ph: (843) 972-3174 |
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Brandon Carroll, Chiropractor Medicare: Medicare Enrolled Practice Location: 1131 Queensborough Blvd Ste 101, Mt Pleasant, SC 29464 Phone: 843-972-3174 |