| Shady Grove Chiropractic, Llc | |
|
11134 Broad River Rd Ste C, Irmo, SC 29063-7616 | |
| (803) 781-0031 | |
| (803) 781-0032 |
| Full Name | Shady Grove Chiropractic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 11134 Broad River Rd Ste C, Irmo, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295055283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2611 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shady Grove Chiropractic, Llc Po Box 184, Ballentine, SC 29002-0184 Ph: () - | Shady Grove Chiropractic, Llc 11134 Broad River Rd Ste C, Irmo, SC 29063-7616 Ph: (803) 781-0031 |
Kallie Brooke Corbin, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 7735 Broad River Rd., Irmo, SC 29063 Phone: 803-724-4472 | |
Kenneth Eric Tryggestad, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 800 Columbiana Dr Ste 100, Ste. H, Irmo, SC 29063 Phone: 803-781-8100 Fax: 803-781-7200 | |
Dr. Brent Scott Tobin, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1032a Kinley Rd, Irmo, SC 29063 Phone: 803-732-6635 | |
Dutch Fork Chiropractic Center Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7839 Broad River Rd, Irmo, SC 29063 Phone: 803-732-3996 Fax: 803-407-0081 | |
Lmpr Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 800 Columbiana Dr Ste 100, Gold's Gym Complex - Irmo, Irmo, SC 29063 Phone: 803-271-4318 | |
Dr. Michael J. Jokerst, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 7210d Broad River Rd, Irmo, SC 29063 Phone: 803-732-6635 Fax: 803-732-6635 |