Healthcare Provider Details

I. General information

NPI: 1013025931
Provider Name (Legal Business Name): ZACHARY GRANT CAUSEY DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 FRESH DR UNIT B
MYRTLE BEACH SC
29579-4462
US

IV. Provider business mailing address

223 FRESH DR UNIT B
MYRTLE BEACH SC
29579-4462
US

V. Phone/Fax

Practice location:
  • Phone: 843-903-5772
  • Fax: 877-471-4713
Mailing address:
  • Phone: 843-903-5772
  • Fax: 877-471-4713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2119
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: