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Organization
LIVEABETES CLINIC SC1 LLC
Active
Organization
LIVEABETES CLINIC SC1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAVANNAH JOCHUM (CREDENTIALER)
(949) 201-9245
Entity
Organization
Contact information
Practice address
3150 HIGHWAY 153 STE DM, PIEDMONT, SC 29673-9498
(949) 201-9245
Mailing address
3150 HIGHWAY 153 STE DM, PIEDMONT, SC 29673-9498
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/14/2026
Last updated
09/14/2026
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