Organization
LIVE FOR WELLNESS JOHNS ISLAND
Active
Parent organization
LIVE FOR WELLNESS CHIROPRACTIC CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIVE FOR WELLNESS CHIROPRACTIC CENTER
Authorized official
DR. JENNIFER LYNN PERDUE DC (OWNER)
(843) 737-6960
Entity
Organization
Contact information
Practice address
1803 CROWNE COMMONS WAY, SUITE 1-A, JOHNS ISLAND, SC 29455
(843) 737-6960
(843) 737-6960
Mailing address
3417 SHELBY RAY CT STE C, CHARLESTON, SC 29414-5895
(843) 737-6960
(843) 737-6960
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124551064
BCBS
SC
05
—
CH3757
—
SC
Enumeration date
10/09/2019
Last updated
12/17/2019
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