Provider Demographics
NPI:1083755755
Name:DR DREW K MCPHAIL CHIROPRACTOR
Entity Type:Organization
Organization Name:DR DREW K MCPHAIL CHIROPRACTOR
Other - Org Name:MCPHAIL CHIROPRACTIC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DREW
Authorized Official - Middle Name:K
Authorized Official - Last Name:MCPHAIL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-873-2225
Mailing Address - Street 1:1709 OLD TROLLEY RD
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-8276
Mailing Address - Country:US
Mailing Address - Phone:843-873-2225
Mailing Address - Fax:843-771-1024
Practice Address - Street 1:1709 OLD TROLLEY RD
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-8276
Practice Address - Country:US
Practice Address - Phone:843-873-2225
Practice Address - Fax:843-771-1024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3047111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC8381Medicare PIN