DR. JACK CARTER SHACKELFORD (NPI# 1952752818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952752818 |
| Entity Type | Individual |
| Full Name | DR. JACK CARTER SHACKELFORD |
| Credential | D.C. |
| Practice Address |
311 West Palmetto Street Florence SC 29501 |
| Mailing Address |
1339 St. Lukes Road Hamer SC 29547 |
| Practice Telephone | 8436622811 |
| Mailing Telephone | 8437749022 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3541 | SC | Chiropractic Providers |
| Street Address |
311 WEST PALMETTO STREET |
| 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 |
| 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 |
| 1053729863 | 1st Choice Healthcare Services, Inc | Community/Behavioral Health | 2117 Bw Palmetto St., Suite108, Florence, SC 29501 | 2014-07-24 |
| 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 |
| 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 |
| 1588956585 | North Alabama Chiropractic & Sports Clinic | Chiropractor | 1545 Helton Dr, Florence, AL 35630-2463 | 2011-05-09 |
| Find all providers in FLORENCE | ||||
Please comment or provide details below to improve the information on DR. JACK CARTER SHACKELFORD.
| 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.