Provider Demographics
NPI:1720397607
Name:ATLAS PHYISCAL THERAPY OF NORTH CHARLESTON
Entity Type:Organization
Organization Name:ATLAS PHYISCAL THERAPY OF NORTH CHARLESTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:L
Authorized Official - Last Name:CURNETT
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:843-437-1945
Mailing Address - Street 1:8720-D NORTHPARK BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406
Mailing Address - Country:US
Mailing Address - Phone:843-225-6985
Mailing Address - Fax:843-225-6986
Practice Address - Street 1:8720 NORTHPARK BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9220
Practice Address - Country:US
Practice Address - Phone:843-225-6985
Practice Address - Fax:843-225-6986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-27
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5756261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy