NPI 1083764062
Mark Calvin Fandel, DC
Practice location
- Address
- 505 18th Ave N STE B, Myrtle Beach, SC 29577-3535
- Phone
- (843) 626-9340
- Fax
- (843) 626-9540
- Mailing address
- PO Box 1255, Myrtle Beach, SC 29578-1255
Registered specialties
Chiropractor
Primary
Registry record
- NPI
- 1083764062
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Jan 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.