Individual provider · Type 1 NPI
Jon Clark Holt, DC
Chiropractor · Myrtle Beach, SC
NPI number
1083751622
Active
Practice location
1151 Robert Grissom Parkway
Myrtle Beach, SC 29579
Fax (849) 839-5591
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 3228 (SC) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1083751622
Jon Clark Holt, DC's National Provider Identifier is 1083751622, issued on Jan 31, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jul 8, 2007.