Organization
CHARLESTON SPINE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS STANZEL DC (OWNER)
(843) 571-5366
Entity
Organization
Contact information
Practice address
1019 PHYSICIANS DR, CHARLESTON, SC 29414-5746
(843) 571-5366
(843) 571-5659
Mailing address
1019 PHYSICIANS DR, CHARLESTON, SC 29414-5746
(843) 571-5366
(843) 571-5659
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3803
SC
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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