Atlantic Spine and Health Clinic LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ATLANTIC SPINE AND HEALTH CLINIC LLC

Practice address

1150 Hungryneck Blvd
Suite D
Mt Pleasant, SC 29464-3484

Phone

(843) 884-1876

Fax

(843) 884-1320

NPI assigned

Nov 12, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jackie Fagioli

Title

Office Manager

Phone

(843) 884-1876

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1235569211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 HUNGRYNECK BLVD",
            "address_2": "SUITE D",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643484",
            "telephone_number": "843-884-1876",
            "fax_number": "843-884-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 HUNGRYNECK BLVD",
            "address_2": "SUITE D",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643484",
            "telephone_number": "843-884-1876",
            "fax_number": "843-884-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC SPINE AND HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "FAGIOLI",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-884-1876"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Associated Foot Specialists, PA
• Karen Astin, CCC-SLP
• John Drew Astles, R.PH.
• Lacey Atkins, LPCA
• Atlantic Coast Integrative Equipment
• Atlas Physical Therapy of Mount Pleasant, Inc
• Caroline Aton, RN
• Sasha Audier-Johnson
• Aurae Medspa, LLC
• Ellen Auten, RPH

• Physical Medicine & Rehabilitation Physician in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• Physical Medicine & Rehabilitation Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.