| Williamsburg Spine And Nerve | |
|
498 Wando Park Blvd Ste 1150, Mt Pleasant, SC 29464-7971 | |
| (843) 618-9595 | |
| Not Available |
| Full Name | Williamsburg Spine And Nerve |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 498 Wando Park Blvd Ste 1150, Mt Pleasant, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023380318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Shauna Marie Mazique |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609845841 PECOS PAC ID: 7810904430 Enrollment ID: I20060307000464 |
| Mailing Address | Practice Location Address |
|---|---|
| Williamsburg Spine And Nerve 498 Wando Park Blvd Ste 1150, Mt Pleasant, SC 29464-7971 Ph: (843) 940-5166 | Williamsburg Spine And Nerve 498 Wando Park Blvd Ste 1150, Mt Pleasant, SC 29464-7971 Ph: (843) 618-9595 |
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