Provider Demographics
NPI:1265918973
Name:DR. RENEE M. SAVERANCE CHIROPRACTOR
Entity type:Organization
Organization Name:DR. RENEE M. SAVERANCE CHIROPRACTOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SAVERANCE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-861-0874
Mailing Address - Street 1:222 W COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29550-4116
Mailing Address - Country:US
Mailing Address - Phone:843-861-0874
Mailing Address - Fax:
Practice Address - Street 1:107 ARMORY ST
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29550-5421
Practice Address - Country:US
Practice Address - Phone:843-332-4672
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4304111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty