Individual
DR. DONIVOL TARRELL BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1311 13TH AVE UNIT C, CONWAY, SC 29526-3668
(843) 369-1831
(843) 369-1832
Mailing address
1311 13TH AVE UNIT C, CONWAY, SC 29526-3668
(843) 369-1831
(843) 369-1832
Taxonomy
Speciality
Code
Description
License number
State
111NT0100X
Thermography Chiropractor
Primary
4120
SC
Other
Enumeration date
03/06/2012
Last updated
10/17/2023
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