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NPI Code Detail

MEDICARE: QUATTLEBAUM CHIROPRACTIC

MEDICARE: QUATTLEBAUM CHIROPRACTIC
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
1332B00000XDurable Medical Equipment & Medical Supplies3095SC
2111NS0005XSports Physician Chiropractor3095SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114248739
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUATTLEBAUM CHIROPRACTIC
Provider Business Mailing Address
First Line : 283 DORCHESTER MANOR BLVD
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29420-8108
Country : US
Telephone Number : 843-552-8000
Fax Number : 843-552-0093
Provider Business Practice Location Address
First Line : 283 DORCHESTER MANOR BLVD
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29420-8108
Country : US
Telephone Number : 843-552-8000
Fax Number : 843-552-0093
Authorized Official
Title or Position : OWNER
Name : DR. BRIAN QUATTLEBAUM
Credential : DC
Telephone Number : 843-552-8000
Provider Enumeration Date : 06/17/2010
Last Update Date : 08/12/2010

Similar Medicare Providers

1336161405 — DR. FARREL IRVIN GROSSMAN D.C.
Practice Location Address:
283 DORCHESTER MANOR BLVD
N CHARLESTON, SC
29420-8108
Practice Phone: 843-552-8000
Practice Fax: 843-552-0093
1568678530 — DR. JAMES HORVATH JR. M.D.
Practice Location Address:
283 DORCHESTER MANOR BLVD
NORTH CHARLESTON, SC
29420-8108
Practice Phone: 330-716-1150
Practice Fax:
1306008123 — CHRIS SMITH CHIROPRACTIC
Practice Location Address:
283 DORCHESTER MANOR BLVD
NORTH CHARLESTON, SC
29420-8108
Practice Phone: 843-552-8000
Practice Fax: 843-552-0093
1316274764 — AP LABORATORY
Practice Location Address:
283 DORCHESTER MANOR BLVD
NORTH CHARLESTON, SC
29420-8108
Practice Phone: 912-225-9712
Practice Fax: 703-991-7215
1013245885 — AP LABORATORIES
Practice Location Address:
283 DORCHESTER MANOR BLVD
NORTH CHARLESTON, SC
29420-8108
Practice Phone: 864-580-3864
Practice Fax:
1336453083 — PHYSICIANS HEALTH SOLUTIONS
Practice Location Address:
283 DORCHESTER MANOR BLVD
NORTH CHARLESTON, SC
29420-8108
Practice Phone: 843-552-8000
Practice Fax: 842-552-0093

Directions to “QUATTLEBAUM CHIROPRACTIC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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