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2126 Hwy 9 East, Bldg D-3, Longs, SC 29568-5725 | |
(843) 399-9722 | |
(843) 399-9788 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 2126 Hwy 9 East, Longs, 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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1811078512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 3119 (South Carolina) | Primary |
Provider Name | John S Enloe |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1164524120 PECOS PAC ID: 2264416932 Enrollment ID: I20061108000352 |
Mailing Address | Practice Location Address |
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2126 Hwy 9 East, Bldg D-3, Longs, SC 29568-5725 Ph: (843) 399-9722 | 2126 Hwy 9 East, Bldg D-3, Longs, SC 29568-5725 Ph: (843) 399-9722 |
John S Enloe, CH Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2126 Hwy 9 East, Bldg D-3, Longs, SC 29568 Phone: 843-399-9722 |