Organization
ELITE PERFORMANCE AND PAIN CENTER LLC
Active
Other names
Active Care Family Chiropractic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMIAH JASON JIMERSON D.C. (PRESIDENT)
(843) 873-6004
Entity
Organization
Contact information
Practice address
761 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7164
(843) 873-6004
Mailing address
761 ST. ANDREWS BLVD, CHARLESTON, SC 29407
(843) 873-6004
(843) 766-3694
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3131
SC
Other
Enumeration date
01/24/2007
Last updated
03/30/2021
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