PALMETTO WELLNESS & INJURY CENTER INC. (NPI# 1013954551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013954551 |
| Entity Type | Organization |
| Organization Name | PALMETTO WELLNESS & INJURY CENTER INC. |
| Practice Address |
436 W Palmetto St. Suite B Florence SC 29501 |
| Mailing Address |
P.o. Box 1066 Marion SC 29571 |
| Practice Telephone | 8436657110 |
| Practice Fax Number | 8436651282 |
| Mailing Telephone | 8436657110 |
| Mailing Fax Number | 8436651282 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2012-03-19 |
| Authorized Official Name | DR. IRA VANDER EDWARDS, II (DOCTOR) |
| Authorized Official Telephone | 8436657110 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | Y |
| Parent Organization Name | PALMETTO WELLNESS & INJURY CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1729 | SC | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | CH1729 | 05 |
| Street Address |
436 W PALMETTO ST. SUITE B |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770102980 | Christopher B Gardner | Chiropractor | 205 N Irby St Ste B, Florence, SC 29501-2805 | 2020-04-09 |
| 1184254757 | Ronald Corbin Critz | Chiropractor | 436 W Palmetto St Ste B, Florence, SC 29501-4425 | 2020-01-22 |
| 1982140406 | Samantha Jo Walton | Chiropractor | 126 Warley St, Florence, SC 29501-4443 | 2017-01-07 |
| 1104362730 | William Jumper | Chiropractor | 133 Ana Dr, Florence, AL 35630-1731 | 2017-01-06 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1215300983 | Taylor Reagan Huntley | Chiropractor | 1451 W Palmetto St, Florence, SC 29501-4173 | 2015-11-03 |
| 1578993820 | Jennifer Marlena Evans | Chiropractor | 420 Pilchard Ct, Florence, SC 29505-5266 | 2013-11-24 |
| 1467715268 | Florence-carlton Chiropractic | Chiropractor | 5537 Us Highway 93 N, Suite A, Florence, MT 59833-6845 | 2012-06-18 |
| 1821358169 | Chiropractic and Massage Center, Psc | Chiropractor | 6052 Ridge Rd, Suite B, Florence, KY 41042-1362 | 2012-05-21 |
| 1124315346 | Palmetto Chiromed | Chiropractor | 2147a Hoffmeyer Rd, Florence, SC 29501-4015 | 2011-07-08 |
| Find all providers in FLORENCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.