Healthcare Provider Details

I. General information

NPI: 1558331629
Provider Name (Legal Business Name): CHRISTOPHER C AMATO DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 09/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 FOLLY RD
CHARLESTON SC
29412-3920
US

IV. Provider business mailing address

950 FOLLY RD
CHARLESTON SC
29412-3920
US

V. Phone/Fax

Practice location:
  • Phone: 843-762-2225
  • Fax: 843-795-7160
Mailing address:
  • Phone: 843-762-2225
  • Fax: 843-795-7160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1519
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: