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WILLIS CHIROMED
NPI 1649331000
Chiropractor in Surfside Beach, SC

Active since December 12, 2006
1665 GLENNS BAY RD, SURFSIDE BEACH, SC 29575(843) 215-2324(843) 215-0541 Get Directions Write a Review

NPPES record last updated: May 30, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Willis Chiromed NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIS CHIROMED (NPI 1649331000) is a healthcare organization registered as a chiropractor in Surfside Beach, South Carolina and active in the NPI registry since December 2006. The organization lists Charles T Rogers, President, as its authorized official.

NPPES Registry Identity

NPI1649331000
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWILLIS CHIRO MED OF MB
Location Address1665 GLENNS BAY RDSurfside Beach, SC 29575-4836
Mailing Address1665 Glenns Bay RdSurfside Beach, SC 29575-4836 · (843) 215-2324 · Fax (843) 215-0541
Phone(843) 215-2324
Fax(843) 215-0541
Organization SubpartNo
Authorized OfficialCharles T RogersPresident · (843) 215-2324
Enumeration DateDecember 12, 2006
Last NPPES UpdateMay 30, 2008
✔ NPI 1649331000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in SC · 2486
Definition

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.

1665 GLENNS BAY RD, Surfside Beach, SC 29575
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Other Names 1

Doing Business AsWillis Chiromed

Other Identifiers 2

Medicare PIN5316SC
MedicaidCH2486SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIS CHIRO MED OF MB
Chiropractor
1665 GLENNS BAY RD
SURFSIDE BEACH, SC 29575
Horry County (843) 215-2324
SURFSIDE DENTAL LLC
Dentist (General Practice)
1665 GLENNS BAY RD
SURFSIDE BEACH, SC 29575
Horry County (843) 215-6080
CHARLES T ROGERS JR. DC
Chiropractor
1665 GLENNS BAY RD
SURFSIDE BEACH, SC 29575
Horry County (843) 215-2324
HEALING JOURNEY LLC
Physical Therapist
1665 GLENNS BAY RD
SURFSIDE BEACH, SC 29575
Horry County (843) 798-0013

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willis Chiro Med Of Mb's NPI number?

The NPI number for Willis Chiro Med Of Mb is 1649331000. It was assigned to this organization in the NPPES registry on December 12, 2006. The provider is doing business as Willis Chiromed.

Where is Willis Chiro Med Of Mb located?

Willis Chiro Med Of Mb is located at 1665 Glenns Bay Rd, Surfside Beach, SC 29575. The listed phone number is (843) 215-2324.

What is Willis Chiro Med Of Mb's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Willis Chiro Med Of Mb was last updated on May 30, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.