Provider Demographics
NPI:1487891974
Name:BATTRELL-HUGHES, IVA L (DC)
Entity type:Individual
Prefix:DR
First Name:IVA
Middle Name:L
Last Name:BATTRELL-HUGHES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:IVA
Other - Middle Name:LUCILLE
Other - Last Name:BATTRELL HUGHES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 931
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29731-6931
Mailing Address - Country:US
Mailing Address - Phone:803-327-3700
Mailing Address - Fax:803-327-4273
Practice Address - Street 1:332 E WHITE ST
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-5332
Practice Address - Country:US
Practice Address - Phone:803-327-3700
Practice Address - Fax:803-327-4273
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3147111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor