Provider Demographics
NPI:1013025931
Name:CAUSEY, ZACHARY GRANT (DC)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:GRANT
Last Name:CAUSEY
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 FRESH DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29579-4462
Mailing Address - Country:US
Mailing Address - Phone:843-903-5772
Mailing Address - Fax:877-471-4713
Practice Address - Street 1:223 FRESH DR UNIT B
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29579-4462
Practice Address - Country:US
Practice Address - Phone:843-903-5772
Practice Address - Fax:877-471-4713
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2119111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCH2119Medicaid
U64205Medicare UPIN