| Cccwc, Llc | |
|
604 12th St, West Columbia, SC 29169-6337 | |
| (803) 403-6403 | |
| Not Available |
| Full Name | Cccwc, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 604 12th St, West Columbia, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538707518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Matthew Hux |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417410549 PECOS PAC ID: 3072943851 Enrollment ID: I20200417002768 |
| Provider Name | Andrea Marie Wilderom |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134984107 PECOS PAC ID: 8729521448 Enrollment ID: I20240621002058 |
| Mailing Address | Practice Location Address |
|---|---|
| Cccwc, Llc 604 12th St, West Columbia, SC 29169-6337 Ph: (803) 403-6403 | Cccwc, Llc 604 12th St, West Columbia, SC 29169-6337 Ph: (803) 403-6403 |
West Columbia Chiropractic, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 101 Pinecrest Ave, West Columbia, SC 29170 Phone: 803-791-0100 Fax: 803-791-0101 | |
Dr. Ronald J Shows, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2243 C Leaphart Rd, Leaphart Chiropractic Llc, West Columbia, SC 29169 Phone: 803-796-9562 Fax: 803-796-9587 | |
Dr. Jennifer Lee, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2427 Fish Hatchery Rd, West Columbia, SC 29172 Phone: 803-939-0785 Fax: 803-939-0787 | |
Healthsource Of West Columbia Chiropractor Medicare: Medicare Enrolled Practice Location: 2427 Fish Hatchery Rd, West Columbia, SC 29172 Phone: 803-939-0785 | |
Andrea Wilderom, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 604 12th St, West Columbia, SC 29169 Phone: 803-888-6385 | |
Dr. Marah W Rutland, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1519 Augusta Rd Ste A, West Columbia, SC 29169 Phone: 803-939-1589 Fax: 803-939-1589 | |
Dr. Ariel Smith, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 604 12th St, West Columbia, SC 29169 Phone: 803-888-6385 |