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Organization
ATLANTIC SPINE AND HEALTH CLINIC LLC
Active
Organization
ATLANTIC SPINE AND HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE FAGIOLI (OFFICE MANAGER)
(843) 884-1876
Entity
Organization
Contact information
Practice address
1150 HUNGRYNECK BLVD, SUITE D, MT PLEASANT, SC 29464-3484
(843) 884-1876
(843) 884-1320
Mailing address
1150 HUNGRYNECK BLVD, SUITE D, MT PLEASANT, SC 29464-3484
(843) 884-1876
(843) 884-1320
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/12/2013
Last updated
03/12/2018
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