Organization
COASTAL CHIROPRACTIC CENTER, LLC
Active
Other names
Coastal Chiropractic Family Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHELLE A LARSEN D.C. (OWNER/MEMBER)
(843) 225-5362
Entity
Organization
Contact information
Practice address
5401 NETHERBY LN, STE 201, N CHARLESTON, SC 29420-7363
(843) 225-5362
(843) 225-5363
Mailing address
5401 NETHERBY LN, STE 201, N CHARLESTON, SC 29420-7363
(843) 225-5362
(843) 225-5363
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
SC3074
SC
Other
Enumeration date
05/23/2006
Last updated
01/10/2008
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