MEDICARE: JOHN A DREW D.C.

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	3005	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134162662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN A DREW D.C.

Provider Business Mailing Address
First Line	:	26 OFFICE PARK CT
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29223-5954
Country	:	US
Telephone Number	:	803-865-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 OFFICE PARK CT
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29223-5954
Country	:	US
Telephone Number	:	803-865-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	12/15/2011

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