Lowcountry Neuropathy of Hilton Head, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23765 Issued in SC

Legal business name

LOWCOUNTRY NEUROPATHY OF HILTON HEAD, LLC

Practice address

55A Sheridan Park Cir
Bluffton, SC 29910-6025

Phone

(843) 817-7404

Fax

(843) 529-0234

NPI assigned

Aug 16, 2012

Last updated

Sep 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Mark Luckie, D.C.NPI 1083641914

Title

Partner

Phone

(843) 817-7404

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• William Mark Luckie, D.C.

  • Chiropractor
  • Charleston, SC
  • NPI 1083641914
  NPD (past) Authorized official

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348963200000",
    "number": "1700134186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 FLYNN DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294056784",
            "telephone_number": "843-817-7404",
            "fax_number": "843-529-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55A SHERIDAN PARK CIR",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106025",
            "telephone_number": "843-817-7404",
            "fax_number": "843-529-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY NEUROPATHY OF HILTON HEAD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-09-30",
        "status": "A",
        "authorized_official_last_name": "LUCKIE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "843-817-7404",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "23765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1427030212",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Low Country Neuropathy
• Lowcountry Center
• Lowcountry Center for Prosthodontic Care
• Lowcountry Medical Care, LLC
• Lowcountry Mental Health, LLC (Ellie Mental Health)
• Lowcountry Nursing Group (Interim Healthcare)
• Lowcountry Podiatry PA
• Lowcountry Psychiatric Associates
• Lowcountry Therapy Center, LLC
• Natalie A. Lucas, HAS

• Family Medicine Physician in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2012; 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.