Organization
JAMES ISLAND FAMILY CHIROPRACTIC, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATT MICHAUD D.C. (OWNER)
(843) 795-1999
Entity
Organization
Contact information
Practice address
1939 MAYBANK HWY, CHARLESTON, SC 29412-2114
(843) 795-1999
(843) 795-1981
Mailing address
1939 MAYBANK HWY, CHARLESTON, SC 29412-2114
(843) 795-1999
(843) 795-1981
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3676
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609932953
INDIVIDUAL NPI
SC
Enumeration date
04/26/2012
Last updated
04/26/2012
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