Provider Demographics
NPI:1801394333
Name:MURRELLS INLET CHIROPRACTIC
Entity type:Organization
Organization Name:MURRELLS INLET CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:843-655-3460
Mailing Address - Street 1:4561 CARRIAGE RUN CIR
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-5867
Mailing Address - Country:US
Mailing Address - Phone:843-655-3460
Mailing Address - Fax:843-655-3460
Practice Address - Street 1:3334 S HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-7634
Practice Address - Country:US
Practice Address - Phone:843-633-1179
Practice Address - Fax:843-655-3460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-30
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty