Organization
EAST COAST CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKE TILLMAN DC (PRESIDENT)
(843) 766-1255
Entity
Organization
Contact information
Practice address
903 SAINT ANDREWS BLVD, SUITE B, CHARLESTON, SC 29407-7194
(843) 766-1255
(843) 766-3157
Mailing address
903 SAINT ANDREWS BLVD, SUITE B, CHARLESTON, SC 29407-7194
(843) 766-1255
(843) 766-3157
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
SC2109
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2109
—
SC
Enumeration date
10/31/2006
Last updated
08/22/2020
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