Provider Demographics
NPI:1952581910
Name:GRAND STRAND HEALTH AND WELLNESS, LLC
Entity Type:Organization
Organization Name:GRAND STRAND HEALTH AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-357-9355
Mailing Address - Street 1:PO BOX 2420
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-2420
Mailing Address - Country:US
Mailing Address - Phone:843-357-9355
Mailing Address - Fax:843-357-9350
Practice Address - Street 1:3959 HIGHWAY 17
Practice Address - Street 2:SUITE C
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-5014
Practice Address - Country:US
Practice Address - Phone:843-357-9355
Practice Address - Fax:843-357-9350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3241111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty