Provider Demographics
NPI:1720133192
Name:CURTIS, MARIE SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:MARIE
Middle Name:SCOTT
Last Name:CURTIS
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:PO BOX 1601
Mailing Address - Street 2:
Mailing Address - City:HEMINGWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29554-1601
Mailing Address - Country:US
Mailing Address - Phone:843-558-0056
Mailing Address - Fax:843-558-0056
Practice Address - Street 1:304 EAST BROAD STREET
Practice Address - Street 2:
Practice Address - City:HEMINGWAY
Practice Address - State:SC
Practice Address - Zip Code:29554-1601
Practice Address - Country:US
Practice Address - Phone:843-558-0056
Practice Address - Fax:843-558-0056
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1234111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor