Coastal Spine and Sport, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2745 Issued in SC

Legal business name

COASTAL SPINE AND SPORT, LLC

Practice address

7509 Northside Dr
Suite B
North Charleston, SC 29420-4211

Phone

(843) 540-1270

NPI assigned

Oct 25, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Nicole M Goldin, D.C.

Title

Ceo, Doctor of Chiropractic

Phone

(843) 540-1270

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1548712656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 WILLOWBEND LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858446",
            "telephone_number": "843-540-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 NORTHSIDE DR",
            "address_2": "SUITE B",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294204211",
            "telephone_number": "843-540-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SPINE AND SPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "GOLDIN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO, DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "843-540-1270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Erin E. Cobb, LISW-CP
• Serena Cobb, APRN-FNP
• Yvette Cobbs
• Dana Rae Cockriel, OTR L

• Chiropractor in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.