Provider Demographics
NPI:1902987795
Name:CROMER, MEAGHAN NANCY (DC)
Entity Type:Individual
Prefix:DR
First Name:MEAGHAN
Middle Name:NANCY
Last Name:CROMER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MEAGHAN
Other - Middle Name:NANCY
Other - Last Name:MCCARTHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:3101 S HIGHWAY 14
Mailing Address - Street 2:#1
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-5950
Mailing Address - Country:US
Mailing Address - Phone:864-288-7797
Mailing Address - Fax:864-288-4442
Practice Address - Street 1:3101 S HIGHWAY 14
Practice Address - Street 2:#1
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-5950
Practice Address - Country:US
Practice Address - Phone:864-288-7797
Practice Address - Fax:864-288-4442
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3172111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor