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Organization

DIVINE LIFE HEALTH CENTER LLC

Active
Other names
Essential Chiropractic LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTINE MARY GRAHAM DC (CHIROPRACTOR)
(843) 877-1696
Entity
Organization

Contact information

Practice address
2200 PREMIER RESORT BLVD UNIT A, NORTH MYRTLE BEACH, SC 29582-9203
(843) 877-1696
(843) 390-2379
Mailing address
2200 PREMIER RESORT BLVD UNIT A, NORTH MYRTLE BEACH, SC 29582-9203
(843) 907-3594
(843) 390-2379

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC4046
SC

Other

Enumeration date
02/01/2016
Last updated
11/15/2018
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