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Organization

MICKEY TRAVIS SIZEMORE

Active
Other names
Greenville Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICKEY TRAVIS SIZEMORE D.C. (PHYSICIAN/OWNER)
(864) 292-0226
Entity
Organization

Contact information

Practice address
4200 E NORTH ST, SUITE 18, GREENVILLE, SC 29615-2437
(864) 292-0226
(864) 268-7022
Mailing address
4200 E NORTH ST, SUITE 18, GREENVILLE, SC 29615-2437
(864) 292-0226
(864) 268-7022

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3595
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
385786
ANTHEM BC/BS
VA
Enumeration date
06/03/2006
Last updated
10/04/2011
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