Provider Demographics
NPI:1073611661
Name:MCCARTNEY, MARC E (DC)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:E
Last Name:MCCARTNEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2752 PLEASANT RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-7227
Mailing Address - Country:US
Mailing Address - Phone:803-802-3737
Mailing Address - Fax:803-802-3747
Practice Address - Street 1:2752 PLEASANT RD
Practice Address - Street 2:SUITE 104
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-7227
Practice Address - Country:US
Practice Address - Phone:803-802-3737
Practice Address - Fax:803-802-3747
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2784111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCAA01687782Medicare ID - Type UnspecifiedMEDICARE
SCU97535Medicare UPIN