Provider Demographics
NPI:1851562243
Name:PRITCHARD, TIMOTHY JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:JAMES
Last Name:PRITCHARD
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 1:19 CANEBRAKE DR
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-5737
Mailing Address - Country:US
Mailing Address - Phone:843-290-7880
Mailing Address - Fax:
Practice Address - Street 1:1 PROMENADE ST
Practice Address - Street 2:SUITE 201
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-7037
Practice Address - Country:US
Practice Address - Phone:843-815-2221
Practice Address - Fax:843-815-2761
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006500111N00000X
SC3515111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor