Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
VIVATEK DISC REHAB CENTER LLC
Active
Organization
VIVATEK DISC REHAB CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RAY COLE DC (OWNER)
(843) 249-5100
Entity
Organization
Contact information
Practice address
119 PINNACLE PL, SUITE B, LITTLE RIVER, SC 29566-7218
(843) 249-5100
Mailing address
119 PINNACLE PL, SUITE B, LITTLE RIVER, SC 29566-7218
(843) 249-5100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1151
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH1151
—
SC
01
—
T326948512
MEDICARE PTAN
SC
Enumeration date
06/29/2006
Last updated
04/10/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers