Provider Demographics
NPI:1306967690
Name:MATHIS, STEVEN GREGORY (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:GREGORY
Last Name:MATHIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:404 MEMORIAL DRIVE EXT
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-1818
Mailing Address - Country:US
Mailing Address - Phone:864-877-4442
Mailing Address - Fax:864-877-6080
Practice Address - Street 1:404 MEMORIAL DRIVE EXT
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-1818
Practice Address - Country:US
Practice Address - Phone:864-877-4442
Practice Address - Fax:864-877-6080
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC786111N00000X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered111NR0400XChiropractic ProvidersChiropractorRehabilitation