MEDICARE: CROMER FAMILY CHIROPRACTIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3172	SC

General Provider Information

NPI Number	:	1669521498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROMER FAMILY CHIROPRACTIC

Provider Business Mailing Address
First Line	:	3101 S HIGHWAY 14
Second Line	:	SUITE 1
City	:	GREENVILLE
State	:	SC
Zip	:	29615-5950
Country	:	US
Telephone Number	:	864-297-1117
Fax Number	:	864-288-4442

Provider Business Practice Location Address
First Line	:	3101 S HIGHWAY 14
Second Line	:	SUITE 1
City	:	GREENVILLE
State	:	SC
Zip	:	29615-5950
Country	:	US
Telephone Number	:	864-297-1117
Fax Number	:	864-288-4442

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. MEAGHAN NANCY CROMER
Credential	:	D.C.
Telephone Number	:	864-297-1117

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	08/22/2020

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