Organization
QUATTLEBAUM CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN QUATTLEBAUM DC (OWNER)
(843) 552-8000
Entity
Organization
Contact information
Practice address
283 DORCHESTER MANOR BLVD, NORTH CHARLESTON, SC 29420-8108
(843) 552-8000
(843) 552-0093
Mailing address
283 DORCHESTER MANOR BLVD, NORTH CHARLESTON, SC 29420-8108
(843) 552-8000
(843) 552-0093
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
3095
SC
332B00000X
Durable Medical Equipment & Medical Supplies
3095
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH3095
—
SC
Enumeration date
06/17/2010
Last updated
08/12/2010
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