Provider Demographics
NPI:1144097106
Name:ALLARD, NATALIE MCRAE (DIPLAC)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:MCRAE
Last Name:ALLARD
Suffix:
Gender:F
Credentials:DIPLAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2287 SKYLER DR
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-9394
Mailing Address - Country:US
Mailing Address - Phone:828-275-6816
Mailing Address - Fax:
Practice Address - Street 1:725 COLEMAN BLVD
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-6002
Practice Address - Country:US
Practice Address - Phone:828-275-6816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC356171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist