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874 Whipple Rd 200 Mount Pleasant SC 29464-8900 | |
(843) 400-4087 | |
(843) 636-5689 |
Full Name | |
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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 |
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874 Whipple Rd 200 Mount Pleasant SC 29464-8900 Ph: () - | 874 Whipple Rd 200 Mount Pleasant SC 29464-8900 Ph: (843) 400-4087 |
NPI Number | 1194065920 |
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Provider Enumeration Date | 02/14/2013 |
Last Update Date | 02/14/2013 |
Medicare PECOS PAC ID | 8820243157 |
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Medicare Enrollment ID | O20130312000346 |
Identifier | Type | State | Issuer |
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1194065920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 3763 (South Carolina) | Primary |
Provider Name | Addison Blake Nelson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1912255498 PECOS PAC ID: 0547415879 Enrollment ID: I20130312000354 |
Sports Medicine & Orthopaedic Centers, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1230 Hospital Dr, Mount Pleasant, SC 29464 Phone: 843-473-4331 Fax: 843-473-4398 | |
Life Essentials Health Solutions Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 N Highway 17 Unit H, Mount Pleasant, SC 29464 Phone: 843-284-8410 Fax: 843-606-2528 | |
Life Essentials Health Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 N Highway 17 Unit H, Mount Pleasant, SC 29464 Phone: 843-284-8410 | |