Healthcare Provider Details

I. General information

NPI: 1861708117
Provider Name (Legal Business Name): INTEGRITY CHIROPRACTIC CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2010
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110A SPRINGHALL DR
GOOSE CREEK SC
29445-5335
US

IV. Provider business mailing address

110A SPRINGHALL DR
GOOSE CREEK SC
29445-5335
US

V. Phone/Fax

Practice location:
  • Phone: 843-270-1288
  • Fax: 843-553-4436
Mailing address:
  • Phone: 843-270-1288
  • Fax: 843-553-4436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1425
License Number StateSC

VIII. Authorized Official

Name: DR. HUBERT AUSTIN MURRAY III
Title or Position: CEO
Credential: DC
Phone: 843-270-1288