Provider Demographics
NPI:1275096398
Name:MCCLURE, ALEXIA KAY (DC)
Entity Type:Individual
Prefix:DR
First Name:ALEXIA
Middle Name:KAY
Last Name:MCCLURE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 BEN SAWYER BLVD STE M
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-4581
Mailing Address - Country:US
Mailing Address - Phone:843-972-8667
Mailing Address - Fax:
Practice Address - Street 1:1220 BEN SAWYER BLVD STE M
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-4581
Practice Address - Country:US
Practice Address - Phone:843-972-8667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-08
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4416111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor