| Neurologic Integrated Health | |
|
874 Whipple Rd 200 Mount Pleasant SC 29464-8900 | |
| (843) 400-4087 | |
| (843) 636-5689 |
| Full Name | Neurologic Integrated Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 874 Whipple Rd, Mount Pleasant, South Carolina |
| Authorized Official Name and Position | Addison Nelson (OWNER) |
| Authorized Official Contact | 8434004087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurologic Integrated Health 874 Whipple Rd 200 Mount Pleasant SC 29464-8900 Ph: () - | Neurologic Integrated Health 874 Whipple Rd 200 Mount Pleasant SC 29464-8900 Ph: (843) 400-4087 |
| NPI Number | 1194065920 |
|---|---|
| Provider Enumeration Date | 02/14/2013 |
| Last Update Date | 02/14/2013 |
| Medicare PECOS PAC ID | 8820243157 |
|---|---|
| Medicare Enrollment ID | O20130312000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194065920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3763 (South Carolina) | Primary |
| Provider Name | Addison Blake Nelson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912255498 PECOS PAC ID: 0547415879 Enrollment ID: I20130312000354 |
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