Organization · Type 2 NPI

Shady Grove Chiropractic, LLC

Chiropractor · Irmo, SC

NPI number 1295055283 Active

Practice location

11134 Broad River Rd Ste C
Irmo, SC 29063-7616

Call (803) 781-0031 Map

Fax (803) 781-0032

Mailing address

PO Box 184
Ballentine, SC 29002-0184

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2611 (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 1295055283

Shady Grove Chiropractic, LLC's National Provider Identifier is 1295055283, issued on Jun 2, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Irmo, SC. The record was last updated on Jun 2, 2010.