Organization
WACCAMAW CHIROIPRACTIC & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF A EVANS D.C. (OWNER/PARTNER)
(843) 357-9617
Entity
Organization
Contact information
Practice address
658 WACHESAW RD, MURRELLS INLET, SC 29576-5631
(843) 357-9617
(843) 357-9639
Mailing address
658 WACHESAW RD, MURRELLS INLET, SC 29576-5631
(843) 357-9617
(843) 357-9639
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GCH459
—
SC
Enumeration date
03/14/2006
Last updated
11/30/2011
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