Healthcare Provider Details

I. General information

NPI: 1891867701
Provider Name (Legal Business Name): CAUSEY CHIROPRACTIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 29TH AVE N
MYRTLE BEACH SC
29577-3008
US

IV. Provider business mailing address

520 29TH AVE N
MYRTLE BEACH SC
29577-3008
US

V. Phone/Fax

Practice location:
  • Phone: 843-839-5772
  • Fax: 843-839-3439
Mailing address:
  • Phone: 843-839-5772
  • Fax: 843-839-3439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MRS. SARA CAUSEY
Title or Position: OFFICE MANAGER
Credential:
Phone: 843-839-5772