Circle's Edge, Llc | |
4516 Durant Ave, N Charleston, SC 29405-5207 | |
(828) 638-9990 | |
Not Available |
Full Name | Circle's Edge, Llc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 4516 Durant Ave, N Charleston, 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 |
---|---|---|---|
1932832185 | NPI | - | NPPES |
5918187 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Albert Shane Dreher |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1518905082 PECOS PAC ID: 1951443779 Enrollment ID: I20130729000540 |
Mailing Address | Practice Location Address |
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Circle's Edge, Llc 4516 Durant Ave, N Charleston, SC 29405-5207 Ph: (828) 638-9990 | Circle's Edge, Llc 4516 Durant Ave, N Charleston, SC 29405-5207 Ph: (828) 638-9990 |
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