| Wildewood Chiropractic Center | |
|
130 Pontiac Business Center Dr, Suite A, Elgin, SC 29045-9171 | |
| (803) 865-2800 | |
| Not Available |
| Full Name | Wildewood Chiropractic Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Rehabilitation |
| Location | 130 Pontiac Business Center Dr, Elgin, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609088376 | NPI | - | NPPES |
| P00030172 | Other | SC | RR MEDICARE |
| CH2359 | Medicaid | SC | |
| 2359 | Other | SC | SC LICENSE NUMBER |
| 7279211 | Other | SC | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | 2359 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wildewood Chiropractic Center 130 Pontiac Business Center Dr, Suite A, Elgin, SC 29045-9171 Ph: (803) 865-2800 | Wildewood Chiropractic Center 130 Pontiac Business Center Dr, Suite A, Elgin, SC 29045-9171 Ph: (803) 865-2800 |
Midlands Specific Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1100 Rose Street, Suite A&b, Elgin, SC 29045 Phone: 803-408-2303 | |
Dr. Lee Epperson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 130 Pontiac Business Center Dr, Suite A, Elgin, SC 29045 Phone: 803-865-2800 | |
Dr. Terrence Michael Demeter, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1100 Rose Street, Suite A & B, Elgin, SC 29045 Phone: 803-408-2303 | |
Dr. Chester L Ferguson, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 2547 Main St, Elgin, SC 29045 Phone: 803-408-0965 Fax: 803-408-0966 |