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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHADY GROVE CHIROPRACTIC, LLC

Active Organization

SHADY GROVE CHIROPRACTIC, LLC is a Chiropractor organization located in IRMO, South Carolina. NPI 1295055283 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · IRMO, SC

Registration Details

NPI Number
1295055283
Provider Type
Organization
NPI Issued
Jun 2, 2010 (16.191538481256 yrs)
Last Updated
Jun 2, 2010
License
2611 (SC)

Practice Information

Address
11134 BROAD RIVER RD STE C
IRMO, SC, 290637616
Browse SC providers · Browse ZIP 29063
Phone
8037810031
Fax
8037810032
Primary Specialty
Chiropractor
111N00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.