Organization
LIVE FOR WELLNESS CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER L PERDUE D.C. (DOCTOR OF CHIROPRACTIC/OWNER)
(920) 960-2425
Entity
Organization
Contact information
Practice address
3417 SHELBY RAY CT, SUITE C, CHARLESTON, SC 29414-5895
(843) 556-6000
Mailing address
3417 SHELBY RAY CT, SUITE C, CHARLESTON, SC 29414-5895
(843) 556-6000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3757
SC
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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