ADVANCED CHIROPRACTIC CENTER NPI 1083882054

NPI Information

  • NPI: 1083882054
  • Provider Name: ADVANCED CHIROPRACTIC CENTER
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Other Name: ADVANCED CHIROPRACTIC CENTER
  • Address: 705 NORTH FRASER STREET
    ADVANCED CHIROPRACTIC CENTER
    GEORGETOWN, SC
    ZIP 29440
  • Phone: (843) 545-1396

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NPI Details

ADVANCED CHIROPRACTIC CENTER is a chiropractor in Georgetown, SC. The provider is 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. ADVANCED CHIROPRACTIC CENTER NPI is 1083882054. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Advanced Chiropractic Center.

The provider's business location address is:

705 NORTH FRASER STREET
ADVANCED CHIROPRACTIC CENTER
GEORGETOWN, SC
ZIP 29440
Phone: (843) 545-1396
Fax: (843) 527-8353

The provider's authorized official is Kenneth W Jordan .
The authorized official title is Owner and has the following contact phone number (843) 545-1396.

The enumeration date for this NPI number is 2/13/2008 and was last updated on 7/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor3056SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GCH507OTHERSOUTH CAROLINAMEDICAID GRP #
2T042420281MEDICARE PINSOUTH CAROLINA
3CH3056MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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