Mark Coleman Shirley, DC | |
612 Saint Andrews Rd, Columbia, SC 29210-5120 | |
(803) 772-7626 | |
(803) 772-7659 |
Full Name | Mark Coleman Shirley |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 26 Years |
Location | 612 Saint Andrews Rd, Columbia, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619926995 | NPI | - | NPPES |
CH2245 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2245 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rcmdcpa | 9638189285 | 2 |
Provider Name | Rcmdcpa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235237579 PECOS PAC ID: 9638189285 Enrollment ID: O20060427000318 |
Mailing Address | Practice Location Address |
---|---|
Mark Coleman Shirley, DC 612 Saint Andrews Rd, Columbia, SC 29210-5120 Ph: (803) 772-7626 | Mark Coleman Shirley, DC 612 Saint Andrews Rd, Columbia, SC 29210-5120 Ph: (803) 772-7626 |
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