| Wallace Chiropractic And Spinal Rehab, Llc | |
|
263 Kelley St, Suite 100, Lake City, SC 29560-2472 | |
| (843) 394-8274 | |
| (843) 394-1604 |
| Full Name | Wallace Chiropractic And Spinal Rehab, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 263 Kelley St, Lake City, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013188531 | NPI | - | NPPES |
| GCH113 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1873 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace Chiropractic And Spinal Rehab, Llc 263 Kelley St Ste 100, Lake City, SC 29560-2472 Ph: (843) 394-8274 | Wallace Chiropractic And Spinal Rehab, Llc 263 Kelley St, Suite 100, Lake City, SC 29560-2472 Ph: (843) 394-8274 |
Terrell E Fowler Iii, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 111 N Matthews Rd, Lake City, SC 29560 Phone: 843-374-8299 | |
Fowler Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 111 N Matthews Rd, Lake City, SC 29560 Phone: 843-374-8299 Fax: 843-374-2195 | |
Dr. Reginel Simon, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 263 Kelley St Ste 100, Lake City, SC 29560 Phone: 843-394-8274 | |
Tyrone D Wallace, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 263 Kelley St, Ste 100, Lake City, SC 29560 Phone: 843-394-8274 Fax: 843-394-1604 | |
Dr. Chucky Sentell Jordan, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 263 Kelley St Ste 100, Lake City, SC 29560 Phone: 843-394-8274 | |
Primecare Of The Lower Pee Dee Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 263 Kelley St, Ste 100, Lake City, SC 29560 Phone: 843-394-8274 Fax: 843-394-1604 |