Organization
SEACOAST CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS RAY HOSTETLER D.C. (OWNER)
(843) 766-1501
Entity
Organization
Contact information
Practice address
3750 SAVANNAH HWY, SUITE G, JOHNS ISLAND, SC 29455-7909
(843) 766-1501
(843) 573-0628
Mailing address
3750 SAVANNAH HWY, SUITE G, JOHNS ISLAND, SC 29455-7909
(843) 766-1501
(843) 573-0628
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2477
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2744
—
SC
05
—
GCH471
—
SC
Enumeration date
01/23/2007
Last updated
08/22/2020
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