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Shady Grove Chiropractic, Llc
Chiropractor in Irmo, South Carolina
NPI 1295055283

Shady Grove Chiropractic, Llc is a Chiropractor based in Ballentine, SC. Shady Grove Chiropractic, Llc practices in Irmo, SC. The NPI Number for Shady Grove Chiropractic, Llc is 1295055283 and holds a License No. 2611 (South Carolina).

The current practice location address for Shady Grove Chiropractic, Llc is 11134 Broad River Rd Ste C, Irmo, SC and can be reached out via phone at 803-781-0031 and via fax at 803-781-0032. You can also correspond with Shady Grove Chiropractic, Llc through the mailing address at PO BOX 184, BALLENTINE, SC - 29002-0184 (mailing address contact number: ).

Location: 11134 Broad River Rd Ste C, Irmo, SC, 29002-0184
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295055283
Provider Name
Shady Grove Chiropractic, Llc
Credential
Provider Entity Type
Organization
Address
11134 Broad River Rd Ste C, Irmo, SC, 29002-0184
Phone Number
803-781-0031
Fax Number
803-781-0032
Provider Enumeration Date
06/02/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11134 Broad River Rd Ste C
City
Irmo
State
South Carolina
Zip
29063-7616
Phone Number
803-781-0031
Fax Number
803-781-0032
person
Provider Business Mailing Address Details
Address
11134 Broad River Rd Ste C
City
Irmo
State
South Carolina
Zip
29063-7616
Phone Number
803-781-0031
Fax Number
803-781-0032
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2611 (South Carolina)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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