Provider Demographics
NPI:1699186494
Name:PRICE, ZACHARY (DC)
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:
Last Name:PRICE
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 1:16 ACCOUNTANTS CIR
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:SC
Mailing Address - Zip Code:29678-2670
Mailing Address - Country:US
Mailing Address - Phone:864-882-5191
Mailing Address - Fax:864-882-5196
Practice Address - Street 1:16 ACCOUNTANTS CIR
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29678-2670
Practice Address - Country:US
Practice Address - Phone:864-882-5191
Practice Address - Fax:864-882-5196
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3922111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor