Provider Demographics
NPI:1619179017
Name:HEMINGWAY SPINAL CARE CENTER, INC.
Entity Type:Organization
Organization Name:HEMINGWAY SPINAL CARE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-558-0056
Mailing Address - Street 1:PO BOX 1601
Mailing Address - Street 2:
Mailing Address - City:HEMINGWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29554-1601
Mailing Address - Country:US
Mailing Address - Phone:843-558-0056
Mailing Address - Fax:843-558-0056
Practice Address - Street 1:304 E BROAD ST
Practice Address - Street 2:
Practice Address - City:HEMINGWAY
Practice Address - State:SC
Practice Address - Zip Code:29554
Practice Address - Country:US
Practice Address - Phone:843-558-0056
Practice Address - Fax:843-558-0056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1234111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC8471Medicare ID - Type Unspecified
SCT83752Medicare UPIN