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42D2223432 CLIA NUMBER - ATLANTIC SPINE AND HEALTH CLINIC

Laboratory Demographics

CLIA Number: 42D2223432

Facility Name: ATLANTIC SPINE AND HEALTH CLINIC

Facility Address:
1150 HUNGRYNECK BLVD, SUITE D
MOUNT PLEASANT, SC
ZIP 29464
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Facility Phone Number: 843 884-1876

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1801302153

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 42D2223432
LAB Type Physician Office
Facility Name ATLANTIC SPINE AND HEALTH CLINIC
Street 1150 HUNGRYNECK BLVD, SUITE D
City MOUNT PLEASANT
State SC
ZIP 29464
Phone 843 884-1876
CertificateType 4
CertificateEffectiveDate 5/6/2023
CertificateExpirationDate 5/5/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024