| Central Clinic Of Chiropractic | |
|
11 E Calhoun St Sumter SC 29150-4315 | |
| (864) 674-7833 | |
| Not Available |
| Full Name | Central Clinic Of Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 11 E Calhoun St, Sumter, South Carolina |
| Authorized Official Name and Position | Shannon Leigh Roberts (OFFICER) |
| Authorized Official Contact | 7322399905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Clinic Of Chiropractic 1005 Alice Dr Sumter SC 29150-2445 Ph: (864) 674-7833 | Central Clinic Of Chiropractic 11 E Calhoun St Sumter SC 29150-4315 Ph: (864) 674-7833 |
| NPI Number | 1760002166 |
|---|---|
| Provider Enumeration Date | 04/26/2020 |
| Last Update Date | 04/26/2020 |
| Medicare PECOS PAC ID | 9335568435 |
|---|---|
| Medicare Enrollment ID | O20200923000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760002166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Shannon Leigh Roberts |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578182101 PECOS PAC ID: 0244659340 Enrollment ID: I20200923000582 |
| Provider Name | Jordan T Reizer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023637659 PECOS PAC ID: 7214356310 Enrollment ID: I20200924001814 |
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