Donivol T Blue (NPI# 1275807471, PAC ID# 2860456886) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1275807471 |
| PAC ID by PECOS | 2860456886 |
| Professional Enrollment ID | I20190422001746 |
| Full Name | Donivol T Blue |
| Address |
3079 Hwy 701 N Suite A Conway SC 29526-3855 |
| Phone Number | 8433691831 |
| Gender | M |
| Medical School | LIFE CHIROPRACTIC COLLEGE |
| Graduation Year | 2011 |
| Primary Specialty | CHIROPRACTIC |
| Secondary Specialties | PAIN MANAGEMENT |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 3079 Hwy 701 N, Suite A, Conway, SC 29526-3855 | 8433691831 |
| Street Address |
3079 HWY 701 N SUITE A |
| City | CONWAY |
| State | SC |
| Zip | 29526-3855 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne H Gubitosa | Nurse Practitioner | Ph Health Care Services, Inc | 3079 Hwy 701 N, Suite E, Conway, SC 29526-3855 |
| Valencia J Chicoine | Nurse Practitioner | Ph Health Care Services, Inc | 3079 Hwy 701 N, Suite E, Conway, SC 29526-3855 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Klauburg | Psychiatry | 152 Waccamaw Med Park Dr, Conway, SC 29526 | |
| William M Sisco | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Timothy J Cosgriff | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Janet M Clifford | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Shasta D Vance | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Gaylord Lee Kelley Jr. | Chiropractic | 1238 Pine St, Conway, SC 29526-3402 | |
| Charles M Proctor | Ophthalmology | Vaught Eye Associates, Pa | 1404 B Main St, Conway, SC 29526-3567 |
| James Monroe Vaught | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Charlotte L Sloan | Nurse Practitioner | Agape Senior Primary Care Inc | 1400 Main St, Conway, SC 29526-3567 |
| Garett M Wise | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Find all physicians in zip 29526 | |||
| City | CONWAY |
| Zip Code | 29526 |
| Specialty | CHIROPRACTIC |
| City + Specialty | CONWAY + CHIROPRACTIC |
Please comment or provide details below to improve the information on Donivol T Blue.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.