Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Myrtle Beach Spine Center, PA

Organization Chiropractor · NPI 1962764142

Myrtle Beach Spine Center, PA is a Chiropractor in Myrtle Beach, South Carolina. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

100 Legends Rd Ste A
Myrtle Beach, SC 29579-7076
Phone: (843) 236-9090
Fax: (843) 236-9099
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081N0008X
Chiropractor Taxonomy 111N00000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1962764142
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Gambacorta — Owner · (843) 236-9090
NPI enumeratedJune 13, 2012
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing address100 Legends Rd Ste A, Myrtle Beach, SC 29579-7076

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