Pro Active Health & Wellness Llc

NPI 1093882797 - Chiropractor - 111N00000X

NPI Details
NPI 1093882797
Enumeration Date 11/29/2006
Last Updated 12/10/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ANDREW COLIN ANDREW
Position OWNER PRESIDENT
Phone (843) 388-8813
Fax (843) 216-8870
Practice Location
1000 JOHNNIE DODDS BLVD
SUITE 105B
MOUNT PLEASANT SC, 29464, US
Phone (843) 388-8813
Fax (843) 216-8870
Business Location
1000 JOHNNIE DODDS BLVD
SUITE 105B
MOUNT PLEASANT SC, 29464, US
Phone (843) 388-8813
Fax (843) 216-8870
Toxanomy
Taxonomy Code 111N00000X
License State South Carolina
License Number 2861
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According to our database, Pro Active Health & Wellness Llc NPI is 1093882797, taxonomy code is 111N00000X and license number is 2861, license state is located at South Carolina. Pro Active Health & Wellness Llc physically located at 1000 Johnnie Dodds Blvd, Mount Pleasant SC, 29464. NPI Number 1033115704 has the healthcare provider type.

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1093882797 NPI number is provided on an as is basis without warranty of any kind. 1093882797 is maintained by the National Plan & Provider Enumeration System. The contents of Pro Active Health & Wellness Llc are for informational purposes only.