MEDICARE: NEUROPATHY TREATMENT CENTER OF CHARLESTON, LLC

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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1841856200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROPATHY TREATMENT CENTER OF CHARLESTON, LLC

Provider Business Mailing Address
First Line	:	852 LOWCOUNTRY BLVD STE 102
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-3067
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	852 LOWCOUNTRY BLVD STE 102
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-3067
Country	:	US
Telephone Number	:	843-810-6691
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEWART WILLIAMSON
Credential	:	DC
Telephone Number	:	843-810-6691

Provider Enumeration Date	:	05/11/2019
Last Update Date	:	05/11/2019

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