MEDICARE: DR. NEAL WARREN LANGE JR. D.C.

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
1	111N00000X	Chiropractor	2874	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2164911	OTHER	SC	FIRST HEALTH
3	200524510	OTHER	SC	BCBS
4	200524510	OTHER	SC	AETNA
5	200524510	OTHER	SC	UNITED HEALTHCARE
6	200524510	OTHER	SC	CIGNA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	200524510	OTHER	SC	STATE HEALTH PLAN

General Provider Information

NPI Number	:	1194797548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEAL WARREN LANGE JR. D.C.

Provider Business Mailing Address
First Line	:	4012 POSTAL WAY STE A
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29579-3298
Country	:	US
Telephone Number	:	843-236-4400
Fax Number	:	843-481-1976

Provider Business Practice Location Address
First Line	:	4012 POSTAL WAY STE A
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29579-3298
Country	:	US
Telephone Number	:	843-236-4400
Fax Number	:	843-481-1976

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	02/23/2026

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Directions to “ DR. NEAL WARREN LANGE JR. D.C.” Practice Location

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