Provider Demographics
NPI:1548806235
Name:MOUNT PLEASANT HEALTH CENTER
Entity Type:Organization
Organization Name:MOUNT PLEASANT HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-800-0413
Mailing Address - Street 1:1405 BEN SAWYER BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-5519
Mailing Address - Country:US
Mailing Address - Phone:843-800-0413
Mailing Address - Fax:843-405-2813
Practice Address - Street 1:1405 BEN SAWYER BLVD STE 104
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-5519
Practice Address - Country:US
Practice Address - Phone:843-800-0413
Practice Address - Fax:843-405-2813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-18
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty