Provider Demographics
NPI:1568818664
Name:FLANIGAN, RYAN (DC)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:FLANIGAN
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 1:130 RIVER LANDING DR
Mailing Address - Street 2:SUITE 12D
Mailing Address - City:DANIEL ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29492-7400
Mailing Address - Country:US
Mailing Address - Phone:843-971-8234
Mailing Address - Fax:843-971-6406
Practice Address - Street 1:130 RIVER LANDING DR
Practice Address - Street 2:SUITE 12D
Practice Address - City:DANIEL ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29492-7400
Practice Address - Country:US
Practice Address - Phone:843-971-8234
Practice Address - Fax:843-971-6406
Is Sole Proprietor?:No
Enumeration Date:2016-05-06
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4147111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor