NPI 1821177080 · live from the CMS NPI Registry
Atlantic Spine,LLC
Chiropractor in Myrtle Beach, SC. National Provider Identifier 1821177080, active.
NPI record
| NPI | 1821177080 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1105 48th Ave N Ste 106, Myrtle Beach, SC 29577 |
| Practice phone | 843-497-5197 |
| Enumerated | November 6, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | John Grant, Doctor Of Chiropractic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 2736 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.