Provider Demographics
NPI:1326426917
Name:CARMICHAEL FAMILY CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:CARMICHAEL FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:EMMA
Authorized Official - Last Name:CARMICHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-756-3503
Mailing Address - Street 1:PO BOX 969
Mailing Address - Street 2:
Mailing Address - City:LORIS
Mailing Address - State:SC
Mailing Address - Zip Code:29569-0969
Mailing Address - Country:US
Mailing Address - Phone:843-756-3503
Mailing Address - Fax:843-756-3857
Practice Address - Street 1:3626 RAILROAD AVENUE
Practice Address - Street 2:
Practice Address - City:LORIS
Practice Address - State:SC
Practice Address - Zip Code:29569-0969
Practice Address - Country:US
Practice Address - Phone:843-756-3503
Practice Address - Fax:843-756-3857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-14
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3878111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty