Southridge Advanced Chiropractic - Chiropractor in Charleston, WV

Southridge Advanced Chiropractic is a Chiropractor based in Charleston, West Virginia. Southridge Advanced Chiropractic is licensed to practice in West Virginia (license number 111N00000X) and their current practice location is 100 Peyton Way, Suite 201, Charleston, West Virginia. It can be reached at their office (for appointments etc.) via phone at (850) 557-0104.

NPI number for Southridge Advanced Chiropractic is 1699960351 and their current mailing address is 100 Peyton Way, Suite 201, Charleston, West Virginia. Southridge Advanced Chiropractic does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1699960351.

Contact Information

Southridge Advanced Chiropractic
100 Peyton Way, Suite 201,
Charleston, WV 25309-8572
(850) 557-0104
Not Available



Healthcare Provider's Profile

Full NameSouthridge Advanced Chiropractic
TypeFacility
SpecialityChiropractor
Location100 Peyton Way, Charleston, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1699960351
  • Provider Enumeration Date: 09/06/2007
  • Last Update Date: 09/06/2007

Medical Identifiers

Medical identifiers for Southridge Advanced Chiropractic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699960351NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 111N00000X (West Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Southridge Advanced Chiropractic is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southridge Advanced Chiropractic
100 Peyton Way, Suite 201,
Charleston, WV 25309-8572

Ph: (850) 557-0104
Southridge Advanced Chiropractic
100 Peyton Way, Suite 201,
Charleston, WV 25309-8572

Ph: (850) 557-0104

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› Verified 5 days ago


Chiropractor in Charleston, WV

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Practice Location: 4502 Maccorkle Ave Se, Suite B, Charleston, WV 25304
Phone: 304-925-1002    Fax: 681-205-8382

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