Dalton Detty, DC | |
1264 Ribaut Rd Ste 301, Beaufort, SC 29902-6128 | |
(843) 929-1495 | |
Not Available |
Full Name | Dalton Detty |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 5 Years |
Location | 1264 Ribaut Rd Ste 301, Beaufort, South Carolina |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295323004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NI0013X | Chiropractor - Independent Medical Examiner | 4557 (South Carolina) | Primary |
Provider Name | Corrective Chiropractic - Beaufort |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235729815 PECOS PAC ID: 8921415282 Enrollment ID: O20210402000131 |
Mailing Address | Practice Location Address |
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Dalton Detty, DC 1264 Ribaut Rd Ste 301, Beaufort, SC 29902-6128 Ph: (843) 929-1495 | Dalton Detty, DC 1264 Ribaut Rd Ste 301, Beaufort, SC 29902-6128 Ph: (843) 929-1495 |
Dr. Philip Jon Wagner, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1 Pinckney Blvd, Naval Hospital Beaufort Attn Professional Affairs, Beaufort, SC 29902 Phone: 843-228-5577 Fax: 843-228-5196 | |
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