Organization
OFF-ISLAND CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICK L WOOSTER DC (PRESIDENT)
(843) 815-3400
Entity
Organization
Contact information
Practice address
1 SHERINGTON DR, SUITE E, BLUFFTON, SC 29910-6018
(843) 815-3400
(843) 815-3402
Mailing address
1 SHERINGTON DR, SUITE E, BLUFFTON, SC 29910-6018
(843) 815-3400
(843) 815-3402
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3089
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8781
MEDICARE PTAN
SC
Enumeration date
03/20/2007
Last updated
08/29/2007
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