Randall Clyde Lindstrom, DC | |
2294 Otranto Rd, N Charleston, SC 29406-9603 | |
(843) 225-2550 | |
Not Available |
Full Name | Randall Clyde Lindstrom |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 12 Years |
Location | 2294 Otranto Rd, N Charleston, 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 |
---|---|---|---|
1407103583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3755 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cpandl | 6608289806 | 5 |
Provider Name | Cp&l |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750988424 PECOS PAC ID: 6608289806 Enrollment ID: O20210107001610 |
Mailing Address | Practice Location Address |
---|---|
Randall Clyde Lindstrom, DC 2294 Otranto Road, N. Charleston, SC 29406 Ph: (843) 225-2550 | Randall Clyde Lindstrom, DC 2294 Otranto Rd, N Charleston, SC 29406-9603 Ph: (843) 225-2550 |
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