Individual
DR. GREG CLAYTON SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4201 CAROLINA EXCHANGE DR, SUITE 101, MYRTLE BEACH, SC 29579-4394
(843) 236-6290
Mailing address
4201 CAROLINA EXCHANGE DR, SUITE 101, MYRTLE BEACH, SC 29579-4394
(843) 236-6290
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2331
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2331
—
SC
05
—
GCH362
—
SC
Enumeration date
07/18/2006
Last updated
07/13/2011
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