Shirley, Greg Clayton
Shirley, Greg Clayton is an individual health care provider with primary practice located at 4201 Carolina Exchange Dr Suite 101, Myrtle Beach SC 29579-4394. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Shirley, Greg Clayton can be contacted via phone (843) 236-6290.Contact Information
Primary practice address
4201 Carolina Exchange Dr Suite 101
Myrtle Beach SC 29579-4394
Phone: (843) 236-6290
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2331 | South Carolina |
Profile Details
| NPI number | 1144248709 |
|---|---|
| LBN Legal business name | Shirley, Greg Clayton |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jul 13th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144248709 | NPPES |
| South Carolina | MEDICAID | CH2331 | |
| South Carolina | MEDICAID | GCH362 |
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