Individual
DR. ALAN DAVID HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., DC
Contact information
Practice address
244 LATITUDE LN, SUITE 104, LAKE WYLIE, SC 29710-8124
(803) 831-6500
(803) 831-6383
Mailing address
244 LATITUDE LN, SUITE 104, LAKE WYLIE, SC 29710-8124
(803) 831-6500
(803) 831-6383
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2361
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2361
—
SC
05
—
GCH347
—
SC
Enumeration date
06/14/2006
Last updated
09/11/2012
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