Greater Carolina Clinic Of Chiropractic Inc | |
101 Wildewood Park Dr, Suite B, Columbia, SC 29223-4319 | |
(803) 788-7890 | |
Not Available |
Full Name | Greater Carolina Clinic Of Chiropractic Inc |
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Type | Facility |
Speciality | Chiropractor |
Location | 101 Wildewood Park Dr, 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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1356880678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 4184 (South Carolina) | Primary |
Provider Name | Tyeler Chase Berry |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1821408832 PECOS PAC ID: 8820211949 Enrollment ID: I20170407000257 |
Mailing Address | Practice Location Address |
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Greater Carolina Clinic Of Chiropractic Inc 101 Wildewood Park Dr, Suite B, Columbia, SC 29223-4319 Ph: (803) 788-7890 | Greater Carolina Clinic Of Chiropractic Inc 101 Wildewood Park Dr, Suite B, Columbia, SC 29223-4319 Ph: (803) 788-7890 |
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