Provider Demographics
NPI:1730266008
Name:MAIN STREET CHIROPRACTIC OF HILTON HEAD, INC.
Entity type:Organization
Organization Name:MAIN STREET CHIROPRACTIC OF HILTON HEAD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MOST
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-342-3333
Mailing Address - Street 1:60 MAIN ST
Mailing Address - Street 2:SUITE G
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29926-6602
Mailing Address - Country:US
Mailing Address - Phone:843-342-3333
Mailing Address - Fax:843-342-3367
Practice Address - Street 1:60 MAIN ST
Practice Address - Street 2:SUITE G
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29926-6602
Practice Address - Country:US
Practice Address - Phone:843-342-3333
Practice Address - Fax:843-342-3367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2018111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty