Provider Demographics
NPI:1538825856
Name:PEE DEE HEALTH SOLUTIONS PC
Entity type:Organization
Organization Name:PEE DEE HEALTH SOLUTIONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRACEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-627-3222
Mailing Address - Street 1:PO BOX 984
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:SC
Mailing Address - Zip Code:29536-0984
Mailing Address - Country:US
Mailing Address - Phone:843-627-3222
Mailing Address - Fax:843-627-3223
Practice Address - Street 1:200 E ROOSEVELT ST
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:SC
Practice Address - Zip Code:29536-2516
Practice Address - Country:US
Practice Address - Phone:843-627-3222
Practice Address - Fax:843-627-3223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-10
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty