Organization
CHIROPRACTIC LIFESTYLES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN M GARDNER DC (OWNER)
(803) 796-3750
Entity
Organization
Contact information
Practice address
1810 AIRPORT BLVD, CAYCE, SC 29033-1807
(803) 796-3750
(803) 796-5202
Mailing address
1810 AIRPORT BLVD, CAYCE, SC 29033-1807
(803) 796-3750
(803) 796-5202
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4032 DC
SC
Other
Enumeration date
05/07/2015
Last updated
09/20/2023
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