MEDICARE: MARTIN SCOTT STONE 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	2121	SC

General Provider Information

NPI Number	:	1902829906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTIN SCOTT STONE D.C.

Provider Business Mailing Address
First Line	:	1171 MARKET ST STE 104
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-6502
Country	:	US
Telephone Number	:	803-493-7544
Fax Number	:	803-802-2413

Provider Business Practice Location Address
First Line	:	1171 MARKET ST STE 104
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-6502
Country	:	US
Telephone Number	:	803-493-7544
Fax Number	:	803-802-2413

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	11/03/2008

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Directions to “ MARTIN SCOTT STONE D.C.” Practice Location

Language	Start Address	Practice Location

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