Dina Maples Blankenship, D.C.
Individual provider Active NPI Chiropractor · Lugoff, SC
NPI 1508059403 · NPPES record last updated Aug 23, 2007
Key facts
- NPI
- 1508059403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1588 (SC)
- Practice address
- 810 Ridgeway Road
Lugoff, SC 29078-0248 - Phone
- (803) 438-1177
- NPI assigned
- Aug 23, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wateree Chiropractic | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1588 | SC | Yes |
Addresses
Primary practice location
810 Ridgeway Road
Lugoff, SC 29078-0248
Mailing address
PO Box 248
Lugoff, SC 29078-0248
Phone (803) 438-1177
Other providers in Lugoff, SC
- Tonya Barkley
- Elaine B Baxley
- Ryan Bing
- Bio-Medical Applications of South Carolina, Inc.
- Anne B Blake
- Blue Rock Therapy, LLC
- Brian Boone
- Christa Campbell Boss
- Briana Boyd
- Joy Brazell
All providers in Lugoff, SC · Chiropractor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.