Provider Demographics
NPI:1952650368
Name:ALIGNMENT CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:ALIGNMENT CHIROPRACTIC, LLC
Other - Org Name:ALIGNMENT SPECIFIC CHIROPRACTIC CLINIC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:843-771-4286
Mailing Address - Street 1:606 OLD TROLLEY RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485
Mailing Address - Country:US
Mailing Address - Phone:843-771-4286
Mailing Address - Fax:
Practice Address - Street 1:820 CENTRAL AVE UNIT F
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-3743
Practice Address - Country:US
Practice Address - Phone:843-771-4286
Practice Address - Fax:843-771-4179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-30
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3735111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCH3735Medicaid