Mickey Travis Sizemore

NPI 1184662124 - Chiropractor - 111N00000X

NPI Details
NPI 1184662124
Enumeration Date 06/03/2006
Last Updated 10/04/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICKEY TRAVIS MICKEY
Position PHYSICIAN/OWNER
Phone (864) 292-0226
Fax (864) 268-7022
Practice Location
4200 E NORTH ST
SUITE 18
GREENVILLE SC, 29615-2437, US
Phone (864) 292-0226
Fax (864) 268-7022
Business Location
4200 E NORTH ST
SUITE 18
GREENVILLE SC, 29615-2437, US
Phone (864) 292-0226
Fax (864) 268-7022
Toxanomy
Taxonomy Code 111N00000X
License State South Carolina
License Number 3595
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According to our database, Mickey Travis Sizemore NPI is 1184662124, taxonomy code is 111N00000X and license number is 3595, license state is located at South Carolina. Mickey Travis Sizemore physically located at 4200 E North St, Greenville SC, 29615-2437. NPI Number 1033115704 has the healthcare provider type.

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1184662124 NPI number is provided on an as is basis without warranty of any kind. 1184662124 is maintained by the National Plan & Provider Enumeration System. The contents of Mickey Travis Sizemore are for informational purposes only.