| Theobald Family Chiropractic | |
|
900 Johnnie Dodds Blvd, Suite 102, Mt Pleasant, SC 29464-6130 | |
| (843) 849-3730 | |
| Not Available |
| Full Name | Theobald Family Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 900 Johnnie Dodds Blvd, Mt Pleasant, 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 |
|---|---|---|---|
| 1134471956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | David C Theobald |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548454606 PECOS PAC ID: 3173583390 Enrollment ID: I20041013000021 |
| Mailing Address | Practice Location Address |
|---|---|
| Theobald Family Chiropractic 900 Johnnie Dodds Blvd, Suite 102, Mt Pleasant, SC 29464-6130 Ph: (843) 849-3730 | Theobald Family Chiropractic 900 Johnnie Dodds Blvd, Suite 102, Mt Pleasant, SC 29464-6130 Ph: (843) 849-3730 |
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