| Alpha Medical & Spinal Care, Llc | |
|
435 Folly Rd Charleston SC 29412-2624 | |
| (843) 795-3056 | |
| (843) 762-2488 |
| Full Name | Alpha Medical & Spinal Care, Llc |
|---|---|
| Speciality | Chiropractor |
| Location | 435 Folly Rd, Charleston, South Carolina |
| Authorized Official Name and Position | Annette Y Zaro (OWNER) |
| Authorized Official Contact | 8437953056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Medical & Spinal Care, Llc Po Box 12999 Charleston SC 29422-2999 Ph: (843) 556-7828 | Alpha Medical & Spinal Care, Llc 435 Folly Rd Charleston SC 29412-2624 Ph: (843) 795-3056 |
| NPI Number | 1932316130 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 07/30/2024 |
| Medicare PECOS PAC ID | 6507754967 |
|---|---|
| Medicare Enrollment ID | O20040308000569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932316130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Michael Lynn Coon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053472167 PECOS PAC ID: 2668360025 Enrollment ID: I20120522000709 |
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