Organization
COASTAL SPINE & WELLNESS FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA SPENCER DC (OWNER)
(843) 352-2192
Entity
Organization
Contact information
Practice address
3070 N HIGHWAY 17, SUITE 200, MT PLEASANT, SC 29466-9300
(843) 352-2180
(843) 352-2192
Mailing address
3070 N HIGHWAY 17, SUITE 200, MT PLEASANT, SC 29466-9300
(843) 352-2180
(843) 352-2192
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4043
SC
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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