MEDICARE: TOTAL HEALTH SOLUTIONS 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	2777	SC

General Provider Information

NPI Number	:	1184050239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL HEALTH SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	895 HOUSTON NORTHCUTT BLVD
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-3446
Country	:	US
Telephone Number	:	843-856-0351
Fax Number	:

Provider Business Practice Location Address
First Line	:	895 HOUSTON NORTHCUTT BLVD
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-3446
Country	:	US
Telephone Number	:	843-856-0351
Fax Number	:

Authorized Official
Title or Position	:	MANAGER/OWNER
Name	:	DR. DAWN P PATRICK
Credential	:	D.C.
Telephone Number	:	843-640-3224

Provider Enumeration Date	:	09/20/2013
Last Update Date	:	08/18/2015

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