Pwic of Bennettsville

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2668 Issued in SC

Legal business name

PWIC OF BENNETTSVILLE

Practice address

101 Northwood Dr
Bennettsville, SC 29512-2476

Phone

(843) 479-6102

Fax

(843) 479-6104

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Teresa Edwards

Title

Manager

Phone

(843) 431-9352

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Pravin R Patel, MD

  • Family Medicine Physician
  • Clio, SC
  • NPI 1215973532
  NPD (past)
• Raymond H Stroup, DC

  • Chiropractor
  • Bennettsville, SC
  • NPI 1528032554
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891732335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1066",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295711066",
            "telephone_number": "843-431-9352",
            "fax_number": "843-431-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NORTHWOOD DR",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295122476",
            "telephone_number": "843-479-6102",
            "fax_number": "843-479-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PWIC OF BENNETTSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-431-9352"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2668",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premium Care Associates
• Shannon Preston
• Aubrey Layne Price, FNP
• Priority One Home Healthcare Inc
• Private Matters Counseling Services, LLC
• Betty Quick
• Mariano Llovido Razon III, DNP-C
• Quaneaka Chintell Reed, RN
• Susan G Reed, RN
• Cindy Jamaica Rivers, CC

• Chiropractor in Bennettsville, SC
• Providers in Bennettsville, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.