Provider Demographics
NPI:1235960634
Name:WHIPLASH PAIN CENTER OF NORTH CHARLESTON LLC
Entity type:Organization
Organization Name:WHIPLASH PAIN CENTER OF NORTH CHARLESTON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALYKHAN
Authorized Official - Middle Name:AZIM
Authorized Official - Last Name:SHARIFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-364-1435
Mailing Address - Street 1:714 SAINT ANDREWS BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-7141
Mailing Address - Country:US
Mailing Address - Phone:843-364-1435
Mailing Address - Fax:843-701-1002
Practice Address - Street 1:3618 ASHLEY PHOSPHATE RD
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29418-8585
Practice Address - Country:US
Practice Address - Phone:843-573-9333
Practice Address - Fax:843-701-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty