Provider Demographics
NPI:1871139352
Name:REALIGNING HEALTH WELLNESS CENTER
Entity type:Organization
Organization Name:REALIGNING HEALTH WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:BUFFKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-284-2273
Mailing Address - Street 1:721 LONG POINT RD STE 403
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-8298
Mailing Address - Country:US
Mailing Address - Phone:843-284-2273
Mailing Address - Fax:843-284-2275
Practice Address - Street 1:721 LONG POINT RD STE 403
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-8298
Practice Address - Country:US
Practice Address - Phone:843-284-2273
Practice Address - Fax:843-284-2275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-20
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty