Individual
C. DERRICK BELUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
813 N PINE ST, SPARTANBURG, SC 29303-3128
(864) 585-2600
(864) 585-5643
Mailing address
813 N PINE ST, P.O. BOX 4439, SPARTANBURG, SC 29303-3128
(864) 585-2600
(864) 585-5643
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1369
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH1369
—
SC
Enumeration date
05/04/2006
Last updated
05/21/2008
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