Healthcare Provider Details

I. General information

NPI: 1780264929
Provider Name (Legal Business Name): JAMES PRYOR DC, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2021
Last Update Date: 01/04/2022
Certification Date: 01/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5750 RIVERS AVE # A
NORTH CHARLESTON SC
29406-6029
US

IV. Provider business mailing address

721 LONG POINT RD STE 403
MOUNT PLEASANT SC
29464-8298
US

V. Phone/Fax

Practice location:
  • Phone: 843-723-6475
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4662
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: