MEDICARE: DR. PAUL ANTHONY BABECKI 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	111NN1001X	Nutrition Chiropractor	3244	SC

General Provider Information

NPI Number	:	1871516211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL ANTHONY BABECKI D.C.

Provider Business Mailing Address
First Line	:	102 W 8TH NORTH ST
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29483-6656
Country	:	US
Telephone Number	:	843-469-7222
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 W 8TH NORTH ST
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29483-6656
Country	:	US
Telephone Number	:	843-469-7222
Fax Number	:

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	12/22/2008

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