| Lake Wylie Family Chiropractic Inc. | |
|
244 Latitude Ln, Suite 104, Clover, SC 29710-8124 | |
| (803) 831-6500 | |
| (803) 831-6383 |
| Full Name | Lake Wylie Family Chiropractic Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 244 Latitude Ln, Clover, 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 |
|---|---|---|---|
| 1891893798 | NPI | - | NPPES |
| CH2361 | Medicaid | SC | |
| GCH347 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2361 (South Carolina) | Primary |
| Provider Name | Amber Marie Pederson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932599693 PECOS PAC ID: 1355668971 Enrollment ID: I20150319001452 |
| Provider Name | Jeffery Edward Awender |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184600306 PECOS PAC ID: 1850309394 Enrollment ID: I20210507000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Wylie Family Chiropractic Inc. 244 Latitude Ln, Suite 104, Clover, SC 29710-8124 Ph: (803) 831-6500 | Lake Wylie Family Chiropractic Inc. 244 Latitude Ln, Suite 104, Clover, SC 29710-8124 Ph: (803) 831-6500 |
Clover Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 225 Church St, Clover, SC 29710 Phone: 803-222-2323 Fax: 803-222-2323 | |
Dr. Michael J Schonfeld, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 216 S Main St, Clover, SC 29710 Phone: 803-222-2561 Fax: 888-977-1893 | |
Dragonfly Wellness Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 264 Latitude Ln Ste 103, Clover, SC 29710 Phone: 803-746-5700 | |
Dr. Marcia Lynne Nibert, D.C., LAC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 264 Latitude Ln Ste 103, Clover, SC 29710 Phone: 803-746-5700 | |
Haring Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 104 Guinn St, Clover, SC 29710 Phone: 803-675-7751 Fax: 803-675-7736 | |
Dr. Scott Walter Brodnax, CHIROPRACTOR Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 225 Church St, Clover, SC 29710 Phone: 803-222-2323 Fax: 803-222-2323 |