Organization · Type 2 NPI
Coastal Spine and Sport, LLC
Chiropractor · North Charleston, SC
NPI number
1548712656
Active
Practice location
7509 Northside Dr, Suite B
North Charleston, SC 29420-4211
Mailing address
179 Willowbend Ln
Summerville, SC 29485-8446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2745 (SC) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1548712656
Coastal Spine and Sport, LLC's National Provider Identifier is 1548712656, issued on Oct 25, 2016. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in North Charleston, SC. The record was last updated on Nov 2, 2016.