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NPI Code Detail

MEDICARE: FOUNDATION FAMILY CHIROPRACTIC OF MOUNT PLEASANT

MEDICARE: FOUNDATION FAMILY CHIROPRACTIC OF MOUNT PLEASANT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1134742141
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOUNDATION FAMILY CHIROPRACTIC OF MOUNT PLEASANT
Provider Business Mailing Address
First Line : 455 OLD TROLLEY RD STE A
Second Line :
City : SUMMERVILLE
State : SC
Zip : 29485-5669
Country : US
Telephone Number : 843-851-2417
Fax Number :
Provider Business Practice Location Address
First Line : 1300 HOSPITAL DR STE 270
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-3244
Country : US
Telephone Number : 843-851-2417
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. KYLE HEIMER
Credential : DC
Telephone Number : 815-955-0406
Provider Enumeration Date : 05/26/2020
Last Update Date : 05/26/2020

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Directions to “FOUNDATION FAMILY CHIROPRACTIC OF MOUNT PLEASANT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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