Organization
PRO ACTIVE HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW COLIN PARTRIDGE DC (OWNER PRESIDENT)
(843) 388-3813
Entity
Organization
Contact information
Practice address
1000 JOHNNIE DODDS BLVD, SUITE 105B, MOUNT PLEASANT, SC 29464
(843) 388-8813
(843) 216-8870
Mailing address
1000 JOHNNIE DODDS BLVD, SUITE 105B, MOUNT PLEASANT, SC 29464
(843) 388-8813
(843) 216-8870
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2861
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2861
—
SC
Enumeration date
11/29/2006
Last updated
12/10/2007
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