# SOUTHERLAND SPINE CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1558612267
- **Authorized official:** DR. LUCAS DREW SOUTHERLAND D.C. (OWNER/PRESIDENT)
- **Authorized official phone:** (423) 748-0506

## Contact information

- **Practice address:** 1092 JOHNNIE DODDS BLVD, SUITE 107, MOUNT PLEASANT, SC 29464-6109
- **Practice address phone:** (843) 654-5151
- **Practice address fax:** (843) 654-5111
- **Mailing address:** 1092 JOHNNIE DODDS BLVD, SUITE 107, MOUNT PLEASANT, SC 29464-6109
- **Mailing address phone:** (843) 654-5151
- **Mailing address fax:** (843) 654-5111

## Taxonomy

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

## Other

- **Enumeration date:** 09/21/2012
- **Last updated:** 09/21/2012