| Palmetto Chiromed, Inc. | |
|
491 W Cheves St Ste A Florence SC 29501-4407 | |
| (843) 662-8000 | |
| (843) 664-0994 |
| Full Name | Palmetto Chiromed, Inc. |
|---|---|
| Speciality | Chiropractor |
| Location | 491 W Cheves St Ste A, Florence, South Carolina |
| Authorized Official Name and Position | Michael G Wenner (OWNER) |
| Authorized Official Contact | 8436628000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Chiromed, Inc. 491 W Cheves St Ste A Florence SC 29501-4407 Ph: (843) 662-8000 | Palmetto Chiromed, Inc. 491 W Cheves St Ste A Florence SC 29501-4407 Ph: (843) 662-8000 |
| NPI Number | 1518238203 |
|---|---|
| Provider Enumeration Date | 01/26/2012 |
| Last Update Date | 08/10/2021 |
| Medicare PECOS PAC ID | 0446415343 |
|---|---|
| Medicare Enrollment ID | O20120627000150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518238203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Jonathan Charles Dabney |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639411812 PECOS PAC ID: 3577786441 Enrollment ID: I20140521001927 |
| Provider Name | Celista Lue Frances Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053782458 PECOS PAC ID: 1254636517 Enrollment ID: I20160224000952 |
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