Organization
MAIN STREET CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUNCAN CHURCH DEVOLLD D.C. (PRESIDENT)
(843) 249-6543
Entity
Organization
Contact information
Practice address
301 MAIN ST # B, NORTH MYRTLE BEACH, SC 29582-3022
(843) 249-5432
(843) 280-0837
Mailing address
301 MAIN ST # B, NORTH MYRTLE BEACH, SC 29582-3022
(843) 249-5432
(843) 280-0837
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1308
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH1308
—
SC
Enumeration date
03/31/2007
Last updated
11/18/2008
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