Organization · Type 2 NPI
Divine Life Health Center LLC
Chiropractor · North Myrtle Beach, SC
NPI number
1306204623
Active
Practice location
2200 Premier Resort Blvd Unit A
North Myrtle Beach, SC 29582-9203
Fax (843) 390-2379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC4046 (SC) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1306204623
Divine Life Health Center LLC's National Provider Identifier is 1306204623, issued on Feb 1, 2016. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in North Myrtle Beach, SC. The record was last updated on Nov 15, 2018.