Individual
DR. MICKEY TRAVIS SIZEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4200 E NORTH ST, SUITE 18, GREENVILLE, SC 29615-2437
(864) 292-0226
(864) 268-7022
Mailing address
1241 CLINGMAN DR, FORT MILL, SC 29715-0083
(843) 295-2998
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3595
SC
111N00000X
Chiropractor
Primary
CHIR010432
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
385786
ANTHEM BCBS
VA
Enumeration date
12/11/2006
Last updated
10/23/2020
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