| Life Line Chiropractic | |
|
Life Line Chiropractic, 1151 Robert Grissom Pkwy, Myrtle Beach, SC 29577 | |
| (843) 839-5588 | |
| (843) 839-5591 |
| Full Name | Life Line Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | Life Line Chiropractic, Myrtle Beach, 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 |
|---|---|---|---|
| 1649331380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | SC2755 (South Carolina) | Primary |
| Provider Name | Tammy L Costello |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558456202 PECOS PAC ID: 8628058286 Enrollment ID: I20061219000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Life Line Chiropractic Life Line Chiropractic, 1151 Robert Grissom Pkwy, Myrtle Beach, SC 29577 Ph: (843) 839-5588 | Life Line Chiropractic Life Line Chiropractic, 1151 Robert Grissom Pkwy, Myrtle Beach, SC 29577 Ph: (843) 839-5588 |
Dr. Zachary Grant Causey, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4999 Carolina Forest Blvd, Unit 12, Myrtle Beach, SC 29579 Phone: 843-903-5772 Fax: 843-903-5774 | |
Chiro Care Chiropractic Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 505 18th Ave N Ste B, Myrtle Beach, SC 29577 Phone: 843-626-9340 | |
Mychiroclub, P.a. Chiropractor Medicare: Medicare Enrolled Practice Location: 4012 Postal Way Ste A, Myrtle Beach, SC 29579 Phone: 843-236-6291 Fax: 843-872-9190 | |
Dr. Katie Renee Ulam, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 5001 N Kings Hwy Ste 204, Myrtle Beach, SC 29577 Phone: 843-999-1805 Fax: 855-277-9141 | |
Dr. Jon Clark Holt, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 1151 Robert Grissom Parkway, Myrtle Beach, SC 29579 Phone: 843-839-5588 Fax: 849-839-5591 | |
Dr. Mark Calvin Fandel, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 505 18th Ave N Ste B, Myrtle Beach, SC 29577 Phone: 843-626-9340 Fax: 843-626-9540 | |
Dr. Alan Herndon Levy, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1211 44th Ave N, Suite 200, Myrtle Beach, SC 29577 Phone: 843-839-5262 |