Individual
DR. MICHAEL GERARD REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
105 CENTRAL AVE STE 300B, GOOSE CREEK, SC 29445
(843) 569-1212
(843) 569-1909
Mailing address
105 CENTRAL AVE STE 300B, GOOSE CREEK, SC 29445-3086
(843) 569-1212
(843) 569-1909
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1171
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
571071009
BLUE CROSS BLUE SHIELD
SC
05
—
CH1171
—
SC
Enumeration date
03/14/2007
Last updated
10/23/2018
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