Individual
DR. BLAINE M CREVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
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
Enumeration date
03/14/2006
Last updated
10/06/2008
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