# ATLANTIC COAST INTEGRATIVE MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174955439
- **Authorized official:** MR. STEPHEN P LAMBERT (PRACTICE MANAGER)
- **Authorized official phone:** (843) 486-0999

## Contact information

- **Practice address:** 1203 OLD TROLLEY RD, SUITE F, SUMMERVILLE, SC 29485-5296
- **Practice address phone:** (843) 486-0999
- **Practice address fax:** (843) 486-0989
- **Mailing address:** 1203 OLD TROLLEY RD, SUITE F, SUMMERVILLE, SC 29485-5296
- **Mailing address phone:** (843) 486-0999
- **Mailing address fax:** (843) 486-0989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 29692 | SC | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | 29692 | SC | — |

## Other

- **Enumeration date:** 08/08/2013
- **Last updated:** 08/10/2015