Modern Chiropractic Health Center Inc | |
512 Hayes Park Blvd Ste 102, Johns Island, SC 29455-4962 | |
(843) 998-7534 | |
(843) 376-9429 |
Full Name | Modern Chiropractic Health Center Inc |
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Type | Facility |
Speciality | Chiropractor |
Location | 512 Hayes Park Blvd Ste 102, Johns Island, 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 |
---|---|---|---|
1578313094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Malori Mattimore |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1720707805 PECOS PAC ID: 1557747904 Enrollment ID: I20221007002052 |
Mailing Address | Practice Location Address |
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Modern Chiropractic Health Center Inc 512 Hayes Park Blvd Ste 102, Johns Island, SC 29455-4962 Ph: (843) 998-7534 | Modern Chiropractic Health Center Inc 512 Hayes Park Blvd Ste 102, Johns Island, SC 29455-4962 Ph: (843) 998-7534 |
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Dr. Marcus Ray Hostetler, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3750 Savannah Hwy, Suite G, Johns Island, SC 29455 Phone: 843-766-1501 Fax: 843-578-0628 | |
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