Individual
DR. TRACY DALLAS LUMMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1501 9TH AVE, CONWAY, SC 29526-4107
(843) 248-0104
(843) 248-4046
Mailing address
1501 9TH AVE, CONWAY, SC 29526-4107
(843) 248-0104
(843) 248-4046
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5142
KY
Other
Enumeration date
10/29/2007
Last updated
08/03/2012
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