Provider Demographics
NPI:1790895563
Name:STONE, CARRIE S (DC)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:S
Last Name:STONE
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 1:1220 BEN SAWYER BLVD
Mailing Address - Street 2:STE M
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-4581
Mailing Address - Country:US
Mailing Address - Phone:843-972-8667
Mailing Address - Fax:
Practice Address - Street 1:1220 BEN SAWYER BLVD
Practice Address - Street 2:STE M
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-4581
Practice Address - Country:US
Practice Address - Phone:843-972-8667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4903111N00000X
NE1454111N00000X
SC4074111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
V06346Medicare UPIN
599D957Medicare ID - Type Unspecified