Provider Demographics
NPI:1669716007
Name:SHUMATE, CHRISTOPHER ALLEN (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ALLEN
Last Name:SHUMATE
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 1:4207 SEA MOUNTAIN HWY
Mailing Address - Street 2:SUITE-B
Mailing Address - City:LITTLE RIVER
Mailing Address - State:SC
Mailing Address - Zip Code:29566-6843
Mailing Address - Country:US
Mailing Address - Phone:843-399-8840
Mailing Address - Fax:843-399-8841
Practice Address - Street 1:4207 SEA MOUNTAIN HWY
Practice Address - Street 2:SUITE-B
Practice Address - City:LITTLE RIVER
Practice Address - State:SC
Practice Address - Zip Code:29566-6843
Practice Address - Country:US
Practice Address - Phone:843-399-8840
Practice Address - Fax:843-399-8841
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3786111N00000X, 111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor