Organization
ABUNDANT LIFE CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA ROCHELLE KLOPP-SILVA DC (OWNER)
(864) 292-9853
Entity
Organization
Contact information
Practice address
1615 WADE HAMPTON BLVD, SUITE B, GREENVILLE, SC 29609-5062
(864) 292-9853
Mailing address
1615 WADE HAMPTON BLVD, SUITE B, GREENVILLE, SC 29609-5062
(864) 292-9853
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
2548
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U872550281
PTAN
SC
Enumeration date
10/27/2014
Last updated
10/27/2014
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