Healthcare Provider Details

I. General information

NPI: 1730171869
Provider Name (Legal Business Name): NARRY H. BEAVER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 10/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 MARKET ST
CHERAW SC
29520-2636
US

IV. Provider business mailing address

68 GLOBAL DR SUITE 100
GREENVILLE SC
29607-4628
US

V. Phone/Fax

Practice location:
  • Phone: 864-850-1441
  • Fax: 864-850-1482
Mailing address:
  • Phone: 864-644-2700
  • Fax: 864-644-2709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number766
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: