Provider Demographics
NPI:1013021799
Name:ACCURATE CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ACCURATE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GINA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:COURSON
Authorized Official - Suffix:
Authorized Official - Credentials:BS, DC
Authorized Official - Phone:843-971-8814
Mailing Address - Street 1:3373 S MORGANS POINT RD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-8331
Mailing Address - Country:US
Mailing Address - Phone:843-971-8814
Mailing Address - Fax:843-971-1933
Practice Address - Street 1:3373 S MORGANS POINT RD
Practice Address - Street 2:SUITE 307
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-8331
Practice Address - Country:US
Practice Address - Phone:843-971-8814
Practice Address - Fax:843-971-1933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2532111N00000X
SC2533111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCU835940281Medicare UPIN