# CP&L

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Atlantic Spine and Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750988424
- **Authorized official:** MRS. JACQUELINE FAGIOLI (OFFICE MANAGER)
- **Authorized official phone:** (843) 884-1876

## Contact information

- **Practice address:** 1150 HUNGRYNECK BLVD STE D, MOUNT PLEASANT, SC 29464-3484
- **Practice address phone:** (843) 884-1876
- **Mailing address:** 1150 HUNGRYNECK BLVD STE D, MOUNT PLEASANT, SC 29464-3484
- **Mailing address phone:** (843) 884-1876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2020
- **Last updated:** 01/07/2021