# COLUCCI CHIROPRACTIC CENTER PA

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

## Provider details

- **NPI number:** 1518002724
- **Authorized official:** DR. GINA MARY COLUCCI DC (DR GINA COLUCCI DC)
- **Authorized official phone:** (843) 875-5700

## Contact information

- **Practice address:** 1806 TROLLEY ROAD, SUMMERVILLE, SC 29485-8224
- **Practice address phone:** (843) 875-5700
- **Practice address fax:** (843) 873-8591
- **Mailing address:** 1806 TROLLEY ROAD, SUMMERVILLE, SC 29485-8224
- **Mailing address phone:** (843) 875-5700
- **Mailing address fax:** (843) 873-8591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | SC | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 12/23/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GCH133 | — | SC |