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Individual

MARK J CAREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
30 ROBERT SMALLS PKWY, BEAUFORT, SC 29906-4201
(843) 525-1166
Mailing address
30 ROBERT SMALLS PKWY, BEAUFORT, SC 29906-4201
(843) 525-1166

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1777
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
57-1098071
FEDERAL TAX ID
SC
05
GCH276
SC
Enumeration date
03/17/2006
Last updated
12/20/2011
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