Individual
MARY CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3626 RAILROAD AVE, LORIS, SC 29569-0969
(843) 716-0546
Mailing address
PO BOX 969, LORIS, SC 29569-0969
(843) 716-0546
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3878
SC
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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