# DR. ADDISON B. NELSON LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NeuroLogic Integrated Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194065920
- **Authorized official:** DR. ADDISON NELSON D.C. (OWNER)
- **Authorized official phone:** (843) 400-4087

## Contact information

- **Practice address:** 874 WHIPPLE RD, 200, MOUNT PLEASANT, SC 29464-8900
- **Practice address phone:** (843) 400-4087
- **Practice address fax:** (843) 636-5689
- **Mailing address:** 874 WHIPPLE RD, 200, MOUNT PLEASANT, SC 29464-8900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 3763 | SC | Yes |

## Other

- **Enumeration date:** 02/14/2013
- **Last updated:** 02/14/2013