Myrtle Beach Spine Center, Pa

LBN: Myrtle Beach Spine Center, Pa
Myrtle Beach Spine Center, Pa is an health care organization with primary practice located at 100 Legends Rd Suite A , Myrtle Beach SC 29579-7076. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Neuromuscular Medicine, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Neuromuscular Medicine is the primary health care specialty. Myrtle Beach Spine Center, Pa can be contacted via phone (843) 236-9090, or through Gambacorta, Michael P via phone (843) 236-9090.

Contact Information

Primary practice address
100 Legends Rd Suite A Myrtle Beach SC 29579-7076
Phone: (843) 236-9090
Fax: (843) 236-9099
Website:
Map and Directions
Authorized official contact:
Name: Gambacorta, Michael P DC, FNP-BC
Phone: (843) 236-9090

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X
Allopathic & Osteopathic Physicians / Neuromuscular Medicine 2081N0008X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1962764142
LBN Legal business name Myrtle Beach Spine Center, Pa
DBA Doing business as
Authorized official Gambacorta, Michael P DC, FNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2012
Last updated Sep 5th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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