Provider Demographics
NPI:1821436759
Name:MERMEY, COLIN STUART (DC)
Entity Type:Individual
Prefix:DR
First Name:COLIN
Middle Name:STUART
Last Name:MERMEY
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 1:201 HENRY PL
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29306-3208
Mailing Address - Country:US
Mailing Address - Phone:864-310-6100
Mailing Address - Fax:864-302-8298
Practice Address - Street 1:201 HENRY PL
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29306-3208
Practice Address - Country:US
Practice Address - Phone:864-310-6100
Practice Address - Fax:864-302-8298
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010834111N00000X
SC3962111N00000X
MO2014035753111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSC75297838Medicare PIN
MOL61000007Medicare PIN