NPIMap

Organization Active NPI

St. George Spine Center LLC

Doing business as St. George Spine Center

  • Chiropractor
  • Saint George, SC
National Provider Identifier
1407477979
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ST. GEORGE SPINE CENTER LLC
Doing business as
St. George Spine Center
Practice address
5502 Memorial Blvd Unit 3
Saint George, SC 29477-2286
Phone
(843) 970-3200
Fax
(843) 353-2406
NPI assigned
May 6, 2020
Last updated
May 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
Dr. Nathan Henry Page, DCNPI 1952822140
Title
Chiropractor/Owner
Phone
(843) 970-3200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

5502 Memorial Blvd Unit 3
Saint George, SC 29477-2286

Mailing address

PO Box 632
Saint George, SC 29477-0632
Phone (843) 970-3200

Other names 1

  • St. George Spine Center Doing business as

National Provider Directory

National Provider Directory

Locations

5502 Memorial Blvd
Unit 3
Saint George, SC 29477
Phone (843) 970-3200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1407477979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632",
            "city": "SAINT GEORGE",
            "state": "SC",
            "postal_code": "294770632",
            "telephone_number": "843-970-3200",
            "fax_number": "843-353-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 MEMORIAL BLVD UNIT 3",
            "city": "SAINT GEORGE",
            "state": "SC",
            "postal_code": "294772286",
            "telephone_number": "843-970-3200",
            "fax_number": "843-353-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. GEORGE SPINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "843-970-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. George Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint George, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.