MEDICARE: DISCOVER SPECIFIC CHIROPRACTIC INC

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

General Provider Information

NPI Number	:	1942370465
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISCOVER SPECIFIC CHIROPRACTIC INC

Provider Business Mailing Address
First Line	:	4101 MAIN ST STE A
Second Line	:
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29926-4609
Country	:	US
Telephone Number	:	843-689-2273
Fax Number	:	843-342-3608

Provider Business Practice Location Address
First Line	:	4101 MAIN STREET
Second Line	:	SUITE A
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29926
Country	:	US
Telephone Number	:	843-689-2273
Fax Number	:	843-342-3608

Authorized Official
Title or Position	:	CHIROPRACTOR PRESIDENT
Name	:	DR. KENNETH HORUP
Credential	:	DC
Telephone Number	:	843-342-3606

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	03/05/2024

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