Organization
SEA ISLE SPINE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J CROMER (OWNER/PRESIDENT)
(843) 881-2010
Entity
Organization
Contact information
Practice address
1137 JOHNNIE DODDS BLVD, MOUNT PLEASANT, SC 29464-3101
(843) 881-2010
(843) 881-2009
Mailing address
1137 JOHNNIE DODDS BLVD, MOUNT PLEASANT, SC 29464-3101
(843) 881-2010
(843) 881-2009
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3296
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689881369
NPI TYPE 1
SC
Enumeration date
08/15/2008
Last updated
08/15/2008
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