Individual
HERMAN TOBY WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC CCSP
Contact information
Practice address
1519 SUMMER HILL RD, NORTH AUGUSTA, SC 29841
(803) 279-3922
Mailing address
1519 SUMMER HILL RD, NORTH AUGUSTA, SC 29841
(803) 279-3922
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0701
SC
111N00000X
Chiropractor
243
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH0701
—
SC
Enumeration date
06/27/2006
Last updated
07/08/2007
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