| Coastal Spine And Sport, Llc | |
|
7509 Northside Dr, Suite B, North Charleston, SC 29420-4211 | |
| (843) 540-1270 | |
| Not Available |
| Full Name | Coastal Spine And Sport, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 7509 Northside Dr, North Charleston, 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 |
|---|---|---|---|
| 1548712656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2745 (South Carolina) | Primary |
| Provider Name | Nicole Goldin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548397888 PECOS PAC ID: 8527389642 Enrollment ID: I20150602000289 |
| Provider Name | Lyle Barker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558754812 PECOS PAC ID: 6800103730 Enrollment ID: I20150909003054 |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Spine And Sport, Llc 179 Willowbend Ln, Summerville, SC 29485-8446 Ph: (843) 540-1270 | Coastal Spine And Sport, Llc 7509 Northside Dr, Suite B, North Charleston, SC 29420-4211 Ph: (843) 540-1270 |
Health Edge Medical And Wellness Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4965 Centre Pointe Dr. Suite 100, North Charleston, SC 29418 Phone: 843-569-2225 Fax: 843-863-1830 | |
Dr. Stephanie Sue Lyons, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2102 Otranto Blvd, North Charleston, SC 29406 Phone: 843-569-2225 Fax: 843-863-1830 | |
Mr. Michael Tresnicky, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5401 Netherby Ln Ste 201, North Charleston, SC 29420 Phone: 843-767-0080 Fax: 843-767-0030 | |
Quattlebaum Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 283 Dorchester Manor Blvd, North Charleston, SC 29420 Phone: 843-552-8000 Fax: 843-552-0093 | |
Norman L Bishop, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 8988 University Blvd, Suite 103, North Charleston, SC 29406 Phone: 843-764-3663 Fax: 843-764-3664 | |
Dr. James Matthew Jenkins, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 2294 Otranto Rd, North Charleston, SC 29406 Phone: 843-225-2550 Fax: 843-225-2590 | |
Dr. Angela Christine Tharnish, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2294 Otranto Rd, North Charleston, SC 29406 Phone: 843-225-2550 Fax: 843-225-2590 |