Organization
CREVAR CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLAINE M CREVAR D.C. (DOCTOR)
(843) 529-1800
Entity
Organization
Contact information
Practice address
3940 DORCHESTER RD, NORTH CHARLESTON, SC 29405-7563
(843) 529-1800
(843) 529-3788
Mailing address
3940 DORCHESTER RD, NORTH CHARLESTON, SC 29405-7563
(843) 529-1800
(843) 529-3788
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2227
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2227
—
SC
Enumeration date
11/18/2008
Last updated
12/09/2008
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