Individual
STACY K GANTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
201 S DEAN ST, SPARTANBURG, SC 29302-1986
(864) 583-3967
(864) 585-5554
Mailing address
201 S DEAN ST, SPARTANBURG, SC 29302-1986
(864) 583-3967
(864) 585-5554
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2391
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2391
—
SC
Enumeration date
06/22/2006
Last updated
04/16/2014
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