Provider Demographics
NPI:1689838971
Name:CLASS, BRIAN DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:DAVID
Last Name:CLASS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1501 N HIGHWAY 17
Mailing Address - Street 2:UNIT G
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3342
Mailing Address - Country:US
Mailing Address - Phone:843-284-8210
Mailing Address - Fax:843-285-8411
Practice Address - Street 1:1501 N HIGHWAY 17
Practice Address - Street 2:UNIT G
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3342
Practice Address - Country:US
Practice Address - Phone:843-284-8210
Practice Address - Fax:843-285-8411
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3355111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor