Healthcare Provider Details

I. General information

NPI: 1295802536
Provider Name (Legal Business Name): LONG POINT FAMILY CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

498 WANDO PARK BLVD SUITE 350
MOUNT PLEASANT SC
29464-7902
US

IV. Provider business mailing address

498 WANDO PARK BLVD SUITE 350
MOUNT PLEASANT SC
29464-7902
US

V. Phone/Fax

Practice location:
  • Phone: 843-856-8888
  • Fax: 843-856-2526
Mailing address:
  • Phone: 843-856-8888
  • Fax: 843-856-2526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: ADAM GREENMAN
Title or Position: MANAGER
Credential: D.C.
Phone: 843-856-8888