Provider Demographics
NPI:1619428398
Name:ALLEN, CHEYNIA D (BS, DC)
Entity Type:Individual
Prefix:DR
First Name:CHEYNIA
Middle Name:D
Last Name:ALLEN
Suffix:
Gender:F
Credentials:BS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 CLEMSON BLVD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-1328
Mailing Address - Country:US
Mailing Address - Phone:864-716-2117
Mailing Address - Fax:
Practice Address - Street 1:3501 CLEMSON BLVD
Practice Address - Street 2:SUITE 11
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-1328
Practice Address - Country:US
Practice Address - Phone:864-716-2117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4178111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor