Organization
NORTH MYRTLE BEACH CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M. WALTER D.C. (DOCTOR OF CHIROPRACTIC)
(843) 280-7000
Entity
Organization
Contact information
Practice address
513 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 29582-2903
(843) 280-7000
(843) 280-7001
Mailing address
513 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 29582-2903
(843) 280-7000
(843) 280-7001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1652
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89085MR
—
NC
05
—
CH1652
—
SC
Enumeration date
10/27/2006
Last updated
10/14/2011
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