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Individual

DR. WALTER R. MAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
401 MARKET ST, CHERAW, SC 29520-2636
(843) 537-8200
(843) 537-8444
Mailing address
401 MARKET ST, CHERAW, SC 29520-2636
(843) 537-8200

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
4068
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
048240
HEALTH ALLIANCE
IL
01
5722676
BLUE CROSS/BLUE SHIELD IN
IL
01
7862458
AETNA INSURANCE
IL
Enumeration date
08/01/2006
Last updated
10/07/2015
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