DR. WILLIAM MANLY YOUNGBLOOD JR. (NPI# 1528019346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528019346 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM MANLY YOUNGBLOOD JR. |
| Credential | D.C. |
| Practice Address |
811 A St. Andrews Blvd. Charleston SC 29407 |
| Mailing Address |
811 Saint Andrews Blvd Charleston SC 29407-7187 |
| Practice Telephone | 8432255855 |
| Practice Fax Number | 8432250355 |
| Mailing Telephone | 8432255855 |
| Mailing Fax Number | 8432250355 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2039 | SC | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922289479 | William Michael Dibble Youngblood | Marriage & Family Therapist | 9815 Carroll Canyon Rd, Ste. 100, San Diego, CA 92131-1123 | 2007-11-26 |
| 1659413375 | William C Youngblood | Psychologist | 1801 Nicollet Ave, Minneapolis, MN 55403-3793 | 2007-02-12 |
| Street Address |
811 A ST. ANDREWS BLVD. |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
| 1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
| 1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
| 1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
| Find all providers in zip 29407 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314718 | Evan Patrick Mcmillion | Chiropractor | 149 E Bay St Ste 100, Charleston, SC 29401-2163 | 2020-10-23 |
| 1205467115 | Courtney Lynne Brandenburg | Chiropractor | 68 Line St Ste 1, Charleston, SC 29403-5681 | 2020-01-29 |
| 1093352429 | Leo John Ruettiger | Chiropractor | 1941 Savage Rd Ste 300d, Charleston, SC 29407-4790 | 2019-12-04 |
| 1720636079 | Sydnee Tolpa | Chiropractor | 3417 Shelby Ray Ct Ste C, Charleston, SC 29414-5895 | 2019-08-29 |
| 1669034609 | Sarah Kalani Wharton | Chiropractor | 1 Unity Aly Ste 100, Charleston, SC 29401-3057 | 2019-06-29 |
| 1831676931 | Kerri Domingo | Chiropractor | 714 Saint Andrews Blvd, Charleston, SC 29407-7141 | 2018-07-23 |
| 1639696685 | Christopher Dixon | Chiropractor | 1483 Tobias Gadson Blvd Ste 106, Charleston, SC 29407-4795 | 2017-08-29 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1851833594 | Heather Haselden | Chiropractor | 102 Wappoo Creek Dr, Charleston, SC 29412-2133 | 2016-11-11 |
| 1366800088 | Edoardo C Pate | Chiropractor | 916 Stillwater Dr, Charleston, SC 29412-4927 | 2016-02-09 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.