DR. CHARLES RAY RENICK (NPI# 1760592471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760592471 |
| Entity Type | Individual |
| Full Name | DR. CHARLES RAY RENICK |
| Credential | DC MST |
| Practice Address |
4514 St Andrews Road Columbia SC 29210 |
| Practice Telephone | 8037318121 |
| Practice Fax Number | 8037318121 |
| Mailing Telephone | 8037318121 |
| Mailing Fax Number | 8037318121 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | SC1686 | SC | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | CH1686 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629470026 | Charles Renick | Student in an Organized Health Care Education/Training Program | 2728 Durant Ave, Berkeley, CA 94704-1725 | 2014-09-17 |
| Street Address |
4514 ST ANDREWS ROAD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1942767843 | Thomas Edwin Cromer | Social Worker | 409 Evelyn Drive, Columbia, SC 29210 | 2019-02-27 |
| 1184193542 | Helen Hoffman Coleman | Pharmacist | 16 Berryhill Road, Ste 109, Columbia, SC 29210 | 2018-11-15 |
| 1356828040 | Latia Kelly Mcdonald | Counselor | 105 Beth Hope Lane, Columbia, SC 29210 | 2018-07-25 |
| 1356892848 | Butterfly Effects LLC | Community/Behavioral Health | 1607 Bentley Court, Columbia, SC 29210 | 2016-10-19 |
| 1114373651 | Lilian Emetu | Nurse Practitioner | 822 Statler Road, Columbia, SC 29210 | 2016-05-13 |
| 1154776433 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 507 Piney Grove Rd, Columbia, SC 29210 | 2016-04-25 |
| 1790167690 | Wanda Al-lahabi | Specialist | 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 | 2015-06-26 |
| 1285040279 | Debra R. Smart | Counselor | 652 Bush Road, Suite 216, Columbia, SC 29210 | 2014-07-10 |
| 1144665282 | Snf Transportation LLC | Home Health | 810 Dutch Center Blvd, Columbia, SC 29210 | 2013-05-02 |
| Find all providers in zip 29210 | ||||
| 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 |
|---|---|---|---|---|
| 1306470281 | Palmercare Chiropractic Columbia Inc | Chiropractor | 6851 Oak Hall Ln Ste 301, Columbia, MD 21045-5846 | 2020-02-28 |
| 1639700909 | Kylar Sue Mccann | Chiropractor | 4200 Merchant St Ste 105, Columbia, MO 65203-5816 | 2020-01-27 |
| 1447880331 | Alisha Squires | Chiropractor | 2024 Cherry Hill Dr Ste 101, Columbia, MO 65203-5921 | 2020-01-20 |
| 1205476108 | William H. Northern | Chiropractor | 1005 South Main St., Suite A, Columbia, IL 62236-9998 | 2020-01-09 |
| 1285276857 | Unity Chiropractic LLC | Chiropractor | 110 Office Park Dr, Columbia, KY 42728-1380 | 2019-10-15 |
| 1871056846 | John Terrier | Chiropractor | 10630 Little Patuxent Pkwy Ste 329, Columbia, MD 21044-3204 | 2019-04-08 |
| 1417410549 | Matthew Hux | Chiropractor | 1221 Bower Pkwy Ste 108, Columbia, SC 29212-3734 | 2019-04-06 |
| 1841764057 | Nourishing Life Wellness, LLC | Chiropractor | 7300 Grace Dr # 1a, Columbia, MD 21044-2473 | 2019-01-22 |
| 1790259158 | Raquel Heisse | Chiropractor | 1997 Waterfront Dr N Apt E, Columbia, MO 65202-8953 | 2019-01-17 |
| 1548732449 | Midlands Family Chiropractic, LLC | Chiropractor | 6030 Saint Andrews Rd Ste M, Columbia, SC 29212-3164 | 2018-12-18 |
| Find all providers in COLUMBIA | ||||
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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.