Organization
COSTA CLINIC OF CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL THOMAS COSTA D.C. (OWNER)
(803) 802-8601
Entity
Organization
Contact information
Practice address
9945 CHARLOTTE HWY, FORT MILL, SC 29715-7134
(803) 802-8601
(803) 802-7969
Mailing address
9945 CHARLOTTE HWY, FORT MILL, SC 29715-7134
(803) 802-8601
(803) 802-7969
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
3081
SC
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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