Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1571 | SC |
NPI | 1275957821 |
---|---|
Provider Name | Dr. Alan F Dinehart JR. |
First Address | Beaufort, SC 29906-6742 |
Second Address | Beaufort, SC 29906 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2014 |
Last Update Date | 18/02/2014 |