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Individual

MICHAEL SCOTT MCKELVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1264 RIBAUT RD, STE. 102, BEAUFORT, SC 29902-6123
(843) 524-4325
(843) 524-2885
Mailing address
1264 RIBAUT RD, STE. 102, BEAUFORT, SC 29902-6123
(843) 524-4325
(843) 524-2885

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1890
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
350056792
MEDICARE RAILROAD
SC
Enumeration date
08/12/2005
Last updated
12/03/2008
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