MEDICARE: DR. ALEXIA KAY MCCLURE DC

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	4416	SC

General Provider Information

NPI Number	:	1275096398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXIA KAY MCCLURE DC

Provider Business Mailing Address
First Line	:	1220 BEN SAWYER BLVD STE M
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-4581
Country	:	US
Telephone Number	:	843-972-8667
Fax Number	:

Provider Business Practice Location Address
First Line	:	1220 BEN SAWYER BLVD STE M
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-4581
Country	:	US
Telephone Number	:	843-972-8667
Fax Number	:

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

Provider Enumeration Date	:	04/08/2019
Last Update Date	:	07/13/2020

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