Provider Demographics
NPI:1669643573
Name:EMORY, TAMMY CAROLINE (DC)
Entity Type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:CAROLINE
Last Name:EMORY
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 1:1660A E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:SC
Mailing Address - Zip Code:29334-9706
Mailing Address - Country:US
Mailing Address - Phone:864-486-9600
Mailing Address - Fax:864-433-0207
Practice Address - Street 1:1660A E MAIN ST
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:SC
Practice Address - Zip Code:29334-9706
Practice Address - Country:US
Practice Address - Phone:864-486-9600
Practice Address - Fax:864-433-0207
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3187111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCAA29049520OtherPTAN