Organization
ATLANTIC SPINE AND HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE FAGIOLI (OFFICE MANAGER)
(843) 884-1876
Entity
Organization
Contact information
Practice address
1150 HUNGRYNECK BLVD, SUITE D, MT PLEASANT, SC 29464-3484
(843) 884-1876
(843) 884-1320
Mailing address
1150 HUNGRYNECK BLVD, SUITE D, MT PLEASANT, SC 29464-3484
(843) 884-1876
(843) 884-1320
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/12/2013
Last updated
03/12/2018
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