Individual
DR. MARTIN LAYNE SHEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
76 IRVING STREET, BARNWELL, SC 29812
(803) 259-9412
(803) 259-0559
Mailing address
76 IRVING STREET, BARNWELL, SC 29812
(803) 259-9412
(803) 259-0559
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2275
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
582422361
FEDERAL TAX ID
—
Enumeration date
11/28/2006
Last updated
03/29/2010
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