Provider Demographics
NPI:1588698823
Name:THIGPEN, IVORY TORREY II (DC)
Entity type:Individual
Prefix:DR
First Name:IVORY
Middle Name:TORREY
Last Name:THIGPEN
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:126 RICE TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-9377
Mailing Address - Country:US
Mailing Address - Phone:803-865-8738
Mailing Address - Fax:803-256-1215
Practice Address - Street 1:2627 MILLWOOD AVE
Practice Address - Street 2:STE. A1
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29205-1272
Practice Address - Country:US
Practice Address - Phone:803-256-1213
Practice Address - Fax:803-256-1215
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3053111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor