Organization
ALLIED HLTH CTR OF N MYRTLE BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A PIENKOS II D.C. (PRESIDENT)
(843) 347-3444
Entity
Organization
Contact information
Practice address
205 HWY 17 NORTH, STE A, NORTH MYRTLE BEACH, SC 29582-8943
(843) 280-7533
(843) 357-1471
Mailing address
235 SINGLETON RIDGE RD, CONWAY, SC 29526-9136
(843) 347-3444
(843) 347-1824
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1438
SC
111N00000X
Chiropractor
Primary
2453
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GCH504
—
SC
05
—
GP4338
—
SC
Enumeration date
08/15/2006
Last updated
02/21/2008
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