Organization
ALPHA CARE ALLERGY, ASTHMA & IMMUNOLOGY
Active
Parent organization
ALPHA MEDICAL AND SPINAL CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALPHA MEDICAL AND SPINAL CARE
Authorized official
MICHAEL L. COON (OWNER)
(843) 795-3056
Entity
Organization
Contact information
Practice address
435 FOLLY RD, CHARLESTON, SC 29412-2624
(843) 795-3056
(843) 762-2488
Mailing address
PO BOX 12999, CHARLESTON, SC 29422-2999
(843) 795-3056
(843) 762-2488
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
20328
SC
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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