Provider Demographics
NPI:1952517369
Name:CARLOUGH, MARGARET MASON WARNOCK (DC)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:MASON WARNOCK
Last Name:CARLOUGH
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 1:406 FRISBEE ST
Mailing Address - Street 2:
Mailing Address - City:EAST CHATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12060-3211
Mailing Address - Country:US
Mailing Address - Phone:518-392-2220
Mailing Address - Fax:
Practice Address - Street 1:1 FENN ST
Practice Address - Street 2:SUITE 302
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6278
Practice Address - Country:US
Practice Address - Phone:518-653-3263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3071111N00000X
NYX011191-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor