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Organization

THE SUBLIME SPINE, LLC

Active
Other names
Health Source of James Island
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEE DAVID RUSSO DC (OWNER)
(843) 225-1236
Entity
Organization

Contact information

Practice address
1175 FOLLY RD, SUITE E, CHARLESTON, SC 29412-4130
(843) 225-1236
(843) 225-1237
Mailing address
1175 FOLLY RD, SUITE E, CHARLESTON, SC 29412-4130
(843) 225-1236
(843) 225-1237

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3605
SC

Other

Enumeration date
11/08/2010
Last updated
11/08/2010
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