| Dr Marc David Wilson, DC | |
|
3302 New Easley Hwy, Greenville, SC 29611-7137 | |
| (864) 243-8158 | |
| Not Available |
| Full Name | Dr Marc David Wilson |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 3302 New Easley Hwy, Greenville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902498397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4640 (South Carolina) | Primary |
| Provider Name | Balanced Health Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619543014 PECOS PAC ID: 4284034547 Enrollment ID: O20210609000387 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marc David Wilson, DC 105 Ladybank Ct, Easley, SC 29640-7187 Ph: () - | Dr Marc David Wilson, DC 3302 New Easley Hwy, Greenville, SC 29611-7137 Ph: (864) 243-8158 |
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