East Coast Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

SC2109 Issued in SC

Legal business name

EAST COAST CHIROPRACTIC CENTER

Practice address

903 Saint Andrews Blvd
Suite B
Charleston, SC 29407-7194

Phone

(843) 766-1255

Fax

(843) 766-3157

NPI assigned

Oct 31, 2006

Last updated

Aug 22, 2020By 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

Dr. Mike Tillman, DC

Title

President

Phone

(843) 766-1255

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Michael Tillman, DC

  • Chiropractor
  • Charleston, SC
  • NPI 1083675623
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770660631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 SAINT ANDREWS BLVD",
            "address_2": "SUITE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077194",
            "telephone_number": "843-766-1255",
            "fax_number": "843-766-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 SAINT ANDREWS BLVD",
            "address_2": "SUITE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077194",
            "telephone_number": "843-766-1255",
            "fax_number": "843-766-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-766-1255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "SC2109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2109",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parul Olivia Earley, PHARMD/MBA
• Ashley Lynn Early, L.M.S.W.
• Ears to You LLC
• Sebastian Eason
• East Carolina Anesthesia Associates, PLLC
• East Cooper Physician Group LLC (Novant Health West Ashley Internal Medicine)
• Robert S. Easterling, MD
• Sonya F Easterling, MA
• Julie Ann Eastman, CRNA
• Easy Talk Pediatrics, LLC

• Chiropractor in Charleston, SC
• Providers in 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 Aug 22, 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.