MEDICARE: METHOD HEALTH CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3973	SC

General Provider Information

NPI Number	:	1538557913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METHOD HEALTH CENTER, LLC

Provider Business Mailing Address
First Line	:	1493 OLDENBURG DR
Second Line	:
City	:	AWENDAW
State	:	SC
Zip	:	29429-4965
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	895 ISLAND PARK DR
Second Line	:	SUITE A
City	:	DANIEL ISLAND
State	:	SC
Zip	:	29492-7991
Country	:	US
Telephone Number	:	843-696-9131
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	KELLY BROWN
Credential	:	D.C.
Telephone Number	:	303-668-8428

Provider Enumeration Date	:	01/07/2015
Last Update Date	:	01/07/2015

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Directions to “METHOD HEALTH CENTER, LLC ” Practice Location

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