| Glaza Chiropractic Center, Inc | |
|
548 Nautical Dr, Suite 204, Lake Wylie, SC 29710-0016 | |
| (803) 831-2345 | |
| (803) 831-2007 |
| Full Name | Glaza Chiropractic Center, Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 548 Nautical Dr, Lake Wylie, 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 |
|---|---|---|---|
| 1679679971 | NPI | - | NPPES |
| GCH293 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1193 (South Carolina) | Primary |
| Provider Name | Al Glaza |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306805916 PECOS PAC ID: 9739230327 Enrollment ID: I20090622000241 |
| Mailing Address | Practice Location Address |
|---|---|
| Glaza Chiropractic Center, Inc 548 Nautical Dr, Suite 204, Lake Wylie, SC 29710-0016 Ph: (803) 831-2345 | Glaza Chiropractic Center, Inc 548 Nautical Dr, Suite 204, Lake Wylie, SC 29710-0016 Ph: (803) 831-2345 |
Dr. Alan David Hartley, PH.D., DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 244 Latitude Ln, Suite 104, Lake Wylie, SC 29710 Phone: 803-831-6500 Fax: 803-831-6383 | |
Al Glaza, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 146 Highway 274, Lake Wylie, SC 29710 Phone: 803-831-2345 Fax: 803-831-2007 | |
Lake Wylie Wellness & Chiropractic Center Chiropractor Medicare: Medicare Enrolled Practice Location: 4543 Charlotte Hwy, Ste. 9, Lake Wylie, SC 29710 Phone: 803-701-7077 | |
Dr. David G Redding, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4543 Charlotte Hwy Ste 9, Lake Wylie, SC 29710 Phone: 803-701-7077 Fax: 803-620-4812 | |
Dr. Amber Marie Pederson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 244 Latitude Ln, Unit 104, Lake Wylie, SC 29710 Phone: 803-831-6500 Fax: 803-831-6383 |