Provider Demographics
NPI:1720443336
Name:STONE CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:STONE CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-972-8667
Mailing Address - Street 1:1220 BEN SAWYER BLVD
Mailing Address - Street 2:SUITE M
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-4581
Mailing Address - Country:US
Mailing Address - Phone:843-972-8667
Mailing Address - Fax:
Practice Address - Street 1:1220 BEN SAWYER BLVD
Practice Address - Street 2:SUITE M
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-4581
Practice Address - Country:US
Practice Address - Phone:843-972-8667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-24
Last Update Date:2015-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4074111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCV06346Medicare UPIN
599D957Medicare PIN