Organization
CAROLINA CLINIC OF CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG C SHIRLEY DC (PRESEDENT)
(843) 236-6290
Entity
Organization
Contact information
Practice address
4201 CAROLINA EXCHANGE DR, SUITE 101, MYRTLE BEACH, SC 29579-4394
(843) 236-6290
(843) 236-6309
Mailing address
4201 CAROLINA EXCHANGE DR, SUITE 101, MYRTLE BEACH, SC 29579-4394
(843) 236-6290
(843) 236-6309
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
08/24/2007
Last updated
05/17/2013
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