| Dr Justin Blake Medford, DC | |
|
551 College Park Rd, Ladson, SC 29456-3329 | |
| (843) 572-2224 | |
| Not Available |
| Full Name | Dr Justin Blake Medford |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 551 College Park Rd, Ladson, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184108151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4370 (South Carolina) | Primary |
| Provider Name | Enhanced Living Chiropractic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700032174 PECOS PAC ID: 8022155142 Enrollment ID: O20091022000272 |
| Provider Name | Kirar Chiropractic Wellness Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871820662 PECOS PAC ID: 4183897895 Enrollment ID: O20111025000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin Blake Medford, DC 551 College Park Rd, Ladson, SC 29456-3329 Ph: (843) 572-2224 | Dr Justin Blake Medford, DC 551 College Park Rd, Ladson, SC 29456-3329 Ph: (843) 572-2224 |
Amr Enterprises, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 3525 Iron Horse Rd Ste 105, Ladson, SC 29456 Phone: 843-875-1626 Fax: 873-913-8376 | |
Dr. Alice Ann Ryan, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 3525 Iron Horse Rd Ste 105, Ladson, SC 29456 Phone: 843-875-1626 Fax: 843-913-8376 | |
Dr. Alexis Fuchs, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 551 College Park Rd, Ladson, SC 29456 Phone: 843-572-2224 Fax: 843-572-2274 | |
Dr. Karl Bailey, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 551 College Park Rd, Ladson, SC 29456 Phone: 843-572-2224 | |
Mary Katherine Beech, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 3525 Iron Horse Rd Ste 105, Ladson, SC 29456 Phone: 843-553-9700 | |
Kirar Chiropractic Wellness Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 551 College Park Road, Ladson, SC 29456 Phone: 843-572-2224 Fax: 843-572-2274 |