Healthcare Provider Details

I. General information

NPI: 1720133192
Provider Name (Legal Business Name): MARIE SCOTT CURTIS D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 EAST BROAD STREET
HEMINGWAY SC
29554-1601
US

IV. Provider business mailing address

PO BOX 1601
HEMINGWAY SC
29554-1601
US

V. Phone/Fax

Practice location:
  • Phone: 843-558-0056
  • Fax: 843-558-0056
Mailing address:
  • Phone: 843-558-0056
  • Fax: 843-558-0056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1234
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: