Provider Demographics
NPI:1346416203
Name:HANNERS, EMILY GRIFFITH (DC)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:GRIFFITH
Last Name:HANNERS
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 1:1267 CELEBRATION BLVD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-5499
Mailing Address - Country:US
Mailing Address - Phone:843-667-9929
Mailing Address - Fax:
Practice Address - Street 1:1267 CELEBRATION BLVD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-5499
Practice Address - Country:US
Practice Address - Phone:843-667-9929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3869111N00000X
SC3698111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5909300Medicaid
2340526Medicare PIN