Waccamaw Family Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3457 Issued in SC

Legal business name

WACCAMAW FAMILY CHIROPRACTIC, P.C.

Practice address

11945 Grandhaven Dr
Suite F
Murrells Inlet, SC 29576-8091

Phone

(843) 357-7200

Fax

(843) 357-7203

NPI assigned

May 20, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Matthew R. Cullum, D.C.

Title

President

Phone

(803) 240-8766

Specialties & licenses 1

Addresses

Other names 1

• Triune of Life Chiropratic, P.C. Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John W Kudrick, DC

  • Chiropractor
  • Murrells Inlet, SC
  • NPI 1437236650
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1215162136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11945 GRANDHAVEN DR",
            "address_2": "SUITE F",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295768091",
            "telephone_number": "843-357-7200",
            "fax_number": "843-357-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11945 GRANDHAVEN DR",
            "address_2": "SUITE F",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295768091",
            "telephone_number": "843-357-7200",
            "fax_number": "843-357-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACCAMAW FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "CULLUM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-240-8766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triune of Life Chiropratic, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Amanda Vohringer, LMSW
• VP Garden City Opco LLC
• Waccamaw Anesthesia Consultants, PA
• Waccamaw Chiroipractic & Wellness Center
• Waccamaw Community Hospital
• Waccamaw Orthopaedics LLC
• Waccamaw Pain Group, LLC
• Waccamaw Pain Partners PA
• Waccamaw Urology Associates
• Wal-Mart Stores East LP

• All providers in Murrells Inlet, SC
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.