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Organization
WEST ASHLEY WELLNESS & REHABILITATION, LLC
Active
Organization
WEST ASHLEY WELLNESS & REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN R LUCKIE (OFFICE MANAGER)
(843) 571-3100
Entity
Organization
Contact information
Practice address
2 CARRIAGE LN, CHARLESTON, SC 29407-6010
(843) 571-3100
(843) 766-7798
Mailing address
2 CARRIAGE LN, CHARLESTON, SC 29407-6010
(843) 571-3100
(843) 766-7798
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
2265
SC
225400000X
Rehabilitation Practitioner
Primary
23765
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083641914
INDIVIDUAL NPI
SC
01
—
1427030212
INDIVIDUAL NPI
SC
Enumeration date
03/17/2010
Last updated
02/10/2015
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