Individual
DR. JOHN A PIENKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CH
Contact information
Practice address
205 HWY 17 NORTH, STE A, NORTH MYRTLE BEACH, SC 29582-8943
(843) 280-7533
(843) 357-1471
Mailing address
235 SINGLETON RIDGE RD, CONWAY, SC 29526-9136
(843) 357-1444
(843) 357-1471
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
2453
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2453
—
SC
Enumeration date
07/25/2006
Last updated
02/21/2008
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