Organization
BIG WAVE CHIROPRACTIC L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES KELLY WRIGHT D.C. (MANAGER)
(843) 455-1453
Entity
Organization
Contact information
Practice address
3620 WALTON DR UNIT C4, MYRTLE BEACH, SC 29577-6782
(843) 455-1453
Mailing address
3620 WALTON DR UNIT C4, MYRTLE BEACH, SC 29577-6782
(843) 455-1453
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4216
SC
Other
Enumeration date
05/10/2017
Last updated
07/21/2022
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