Individual
DR. MARK W THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1103 ELLA ST, ANDERSON, SC 29621-4809
(864) 226-6055
(864) 226-6065
Mailing address
1103 ELLA ST, ANDERSON, SC 29621-4809
(864) 226-6055
(864) 226-6065
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1597
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH1597
—
SC
Enumeration date
04/19/2006
Last updated
11/14/2011
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