Southern Spinal Care, Pc | |
3203 Highway 9 E Unit B Little River SC 29566-8143 | |
(919) 491-9317 | |
Not Available |
Full Name | Southern Spinal Care, Pc |
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Speciality | Clinic/Center |
Location | 3203 Highway 9 E Unit B, Little River, South Carolina |
Authorized Official Name and Position | William Renfrow (PRESIDENT) |
Authorized Official Contact | 9194919317 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Southern Spinal Care, Pc 3203 Highway 9 E Unit B Little River SC 29566-8143 Ph: (843) 264-7055 | Southern Spinal Care, Pc 3203 Highway 9 E Unit B Little River SC 29566-8143 Ph: (919) 491-9317 |
NPI Number | 1467982801 |
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Provider Enumeration Date | 06/18/2017 |
Last Update Date | 03/16/2021 |
Medicare PECOS PAC ID | 5597036236 |
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Medicare Enrollment ID | O20170731000407 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467982801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | William Renfrow |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1265962815 PECOS PAC ID: 6406127141 Enrollment ID: I20170731000497 |
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