MEDICARE: PATRIOTS POINT CHIROPRACTIC, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	111N00000X	Chiropractor
2	225100000X	Physical Therapist
3	225700000X	Massage Therapist
4	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1134695711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATRIOTS POINT CHIROPRACTIC, LLC

Provider Business Mailing Address
First Line	:	907 HOUSTON NORTHCUTT BLVD
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-3448
Country	:	US
Telephone Number	:	843-856-0351
Fax Number	:	843-856-0354

Provider Business Practice Location Address
First Line	:	907 HOUSTON NORTHCUTT BLVD
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-3448
Country	:	US
Telephone Number	:	843-856-0351
Fax Number	:	843-856-0354

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOHN FAUERBACH
Credential	:	DC
Telephone Number	:	843-856-0351

Provider Enumeration Date	:	10/22/2018
Last Update Date	:	04/08/2025

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