THE SUBLIME SPINE LLC NPI 1871894816

NPI Information

THE SUBLIME SPINE, LLC is a chiropractor in Charleston, SC. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. THE SUBLIME SPINE, LLC NPI is 1871894816. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Health Source Of James Island.

The provider's business location address is:

1175 FOLLY RD
SUITE E
CHARLESTON, SC
ZIP 29412-130
Phone: (843) 225-1236
Fax: (843) 225-1237

The provider's authorized official is Lee David Russo .
The authorized official title is Owner and has the following contact phone number (843) 225-1236.

The enumeration date for this NPI number is 11/8/2010 and was last updated on 11/8/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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