Provider Demographics
NPI:1821464207
Name:EAREHART, SUZANNE BRITTANY (DC)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:BRITTANY
Last Name:EAREHART
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 1:1014 WADE HAMPTON BLVD STE 5
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-5061
Mailing Address - Country:US
Mailing Address - Phone:864-541-0605
Mailing Address - Fax:
Practice Address - Street 1:1014 WADE HAMPTON BLVD STE 5
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-5061
Practice Address - Country:US
Practice Address - Phone:864-541-0605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-19
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4030111N00000X, 111NR0400X
WV983111N00000X
NC4556111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111N00000XChiropractic ProvidersChiropractor