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Organization
COASTAL SPINE AND SPORT, LLC
Active
Organization
COASTAL SPINE AND SPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE M GOLDIN D.C. (CEO, DOCTOR OF CHIROPRACTIC)
(843) 540-1270
Entity
Organization
Contact information
Practice address
7509 NORTHSIDE DR, SUITE B, NORTH CHARLESTON, SC 29420-4211
(843) 540-1270
Mailing address
179 WILLOWBEND LN, SUMMERVILLE, SC 29485-8446
(843) 540-1270
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2745
SC
Other
Enumeration date
10/25/2016
Last updated
11/02/2016
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