Organization
CAROLINA FOREST CHIROPRACTIC, LLC
Active
Other names
Davis Square Chiropractic, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J. PELLICANI D.C. (OWNER)
(843) 236-2200
Entity
Organization
Contact information
Practice address
568 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7339
(843) 236-2200
Mailing address
4016 RIVER OAKS DR # 149, MYRTLE BEACH, SC 29579-6673
(843) 236-2200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3616
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001610
TUFTS HEALTH PLAN
MA
01
—
0222552-01
BMC HEALTHNET
MA
01
—
04-3403673
PRIVATE HEALTHCARE SYSTEM
MA
01
—
04-3403673-00
NEIGHBORHOOD HEALTH PLAN
MA
01
—
1003195
AMERICAN SPECIALTY HEALTH
MA
01
—
1496056
FIRST HEALTH
MA
01
—
2114793
AETNA
MA
01
—
351103
HARVARD PILGRIM HEALTH
MA
01
—
42309
FALLON COMMUNITY HEALTH P
MA
01
—
44-00274
UNITED HEALTH CARE
MA
01
—
646792
ACN GROUP
MA
01
—
995969
NETWORK HEALTH
MA
01
—
B207689-01
CIGNA
MA
05
—
CH3616
—
SC
01
—
P-12032859
MULTIPLAN
MA
01
—
Y36167
BC/BS OF MA
MA
01
—
Y39207
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
09/20/2006
Last updated
02/26/2021
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