CENTRAL AVENUE HEALTHWORKS P.A. NPI 1679611578

NPI Information

NPI: 1679611578
Provider Name: CENTRAL AVENUE HEALTHWORKS, P.A.

Former Legal Business Name: COOPER SPINE CENTER, P.A.

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
713 CENTRAL AVE
SUMMERVILLE, SC
ZIP 29483
Phone: (843) 821-8787
Get Directions

CENTRAL AVENUE HEALTHWORKS, P.A. is a chiropractor in Summerville, 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. CENTRAL AVENUE HEALTHWORKS, P.A. NPI is 1679611578. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Cooper Spine Center, P.a..

The provider's business location address is:

713 CENTRAL AVE
SUMMERVILLE, SC
ZIP 29483-713
Phone: (843) 821-8787
Fax: (843) 821-8799

The provider's authorized official is Gregory S Cooper .
The authorized official title is President and has the following contact phone number (843) 821-8787.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 7/8/2009.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		909	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T237395040	MEDICARE UPIN	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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