institution
Active Life, Llc
Primary Care Clinic/Center in Charleston, South Carolina
NPI 1245549096

Active Life, Llc is a Primary Care Clinic/Center based in Charleston, SC and is specialized in Primary Care. Active Life, Llc practices in Charleston, SC. The NPI Number for Active Life, Llc is 1245549096 and holds a License No. 3574 (South Carolina).

The current practice location address for Active Life, Llc is 125 Wappoo Creek Dr, Charleston, SC and can be reached out via phone at 843-588-5133.

Location: 125 Wappoo Creek Dr, Charleston, SC, 29412-2163
institution
Provider Profile Details
NPI Number
1245549096
Provider Name
Active Life, Llc
Credential
Provider Entity Type
Organization
Address
125 Wappoo Creek Dr, Charleston, SC, 29412-2163
Phone Number
843-588-5133
Fax Number
Provider Enumeration Date
09/28/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
125 Wappoo Creek Dr
City
State
Zip
29412-2163
Phone Number
843-588-5133
Fax Number
person
Provider Business Mailing Address Details
Address
125 Wappoo Creek Dr
City
State
Zip
29412-2163
Phone Number
843-588-5133
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
3574 (South Carolina)
Definition
Definition to come...
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