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Organization
CAROLINA FOREST CHIROPRACTIC, LLC
Active
Organization
CAROLINA FOREST CHIROPRACTIC, LLC
Active
Other names
Davis Square Chiropractic, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J. PELLICANI D.C. (OWNER)
(843) 236-2200
Entity
Organization
Contact information
Practice address
568 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7339
(843) 236-2200
Mailing address
4016 RIVER OAKS DR # 149, MYRTLE BEACH, SC 29579-6673
(843) 236-2200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3616
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001610
TUFTS HEALTH PLAN
MA
01
—
0222552-01
BMC HEALTHNET
MA
01
—
04-3403673
PRIVATE HEALTHCARE SYSTEM
MA
01
—
04-3403673-00
NEIGHBORHOOD HEALTH PLAN
MA
01
—
1003195
AMERICAN SPECIALTY HEALTH
MA
01
—
1496056
FIRST HEALTH
MA
01
—
2114793
AETNA
MA
01
—
351103
HARVARD PILGRIM HEALTH
MA
01
—
42309
FALLON COMMUNITY HEALTH P
MA
01
—
44-00274
UNITED HEALTH CARE
MA
01
—
646792
ACN GROUP
MA
01
—
995969
NETWORK HEALTH
MA
01
—
B207689-01
CIGNA
MA
05
—
CH3616
—
SC
01
—
P-12032859
MULTIPLAN
MA
01
—
Y36167
BC/BS OF MA
MA
01
—
Y39207
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
09/20/2006
Last updated
02/26/2021
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