Organization
LIFE CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD JAMES MCGILL D.C. (OWNER)
(843) 795-5060
Entity
Organization
Contact information
Practice address
1291 FOLLY RD STE M, CHARLESTON, SC 29412-4115
(843) 795-5060
(843) 795-4870
Mailing address
1291 FOLLY RD STE M, CHARLESTON, SC 29412-4115
(843) 795-5060
(843) 795-4870
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1503
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH1503
—
SC
Enumeration date
03/21/2007
Last updated
03/19/2009
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