Organization
SOUTHERLAND SPINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCAS DREW SOUTHERLAND D.C. (OWNER/PRESIDENT)
(423) 748-0506
Entity
Organization
Contact information
Practice address
1092 JOHNNIE DODDS BLVD, SUITE 107, MOUNT PLEASANT, SC 29464-6109
(843) 654-5151
(843) 654-5111
Mailing address
1092 JOHNNIE DODDS BLVD, SUITE 107, MOUNT PLEASANT, SC 29464-6109
(843) 654-5151
(843) 654-5111
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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