Dynamic Chiropractic And Functional Movement Llc | |
1314 Lincoln St Ste 218, Columbia, SC 29201-3154 | |
(803) 574-9344 | |
Not Available |
Full Name | Dynamic Chiropractic And Functional Movement Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 1314 Lincoln St Ste 218, 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 |
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1508443060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Katelyn Renee Seaba |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1831794213 PECOS PAC ID: 8729487145 Enrollment ID: I20210616003577 |
Mailing Address | Practice Location Address |
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Dynamic Chiropractic And Functional Movement Llc 1314 Lincoln St Ste 218, Columbia, SC 29201-3154 Ph: (803) 574-9344 | Dynamic Chiropractic And Functional Movement Llc 1314 Lincoln St Ste 218, Columbia, SC 29201-3154 Ph: (803) 574-9344 |
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