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

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2745 (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.