| Life Chiropractic Clinic | |
|
1272 Woodruff Rd, Greenville, SC 29607-5754 | |
| (864) 288-2136 | |
| (864) 288-6818 |
| Full Name | Life Chiropractic Clinic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1272 Woodruff Rd, Greenville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437322245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2935 (South Carolina) | Primary |
| Provider Name | Yvette E Edwards |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912077173 PECOS PAC ID: 3678529047 Enrollment ID: I20050329000650 |
| Provider Name | Jessenia Liz Pratts Santiago |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750068326 PECOS PAC ID: 1052767001 Enrollment ID: I20231026002542 |
| Mailing Address | Practice Location Address |
|---|---|
| Life Chiropractic Clinic 1272 Woodruff Rd, Greenville, SC 29607-5754 Ph: (864) 288-2136 | Life Chiropractic Clinic 1272 Woodruff Rd, Greenville, SC 29607-5754 Ph: (864) 288-2136 |
Dr. Thaddeus Modlin, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 27 S Pleasantburg Dr Ste 60, Greenville, SC 29607 Phone: 864-605-7350 Fax: 864-605-7351 | |
Mobility To Agility Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1272 Woodruff Rd, Greenville, SC 29607 Phone: 864-660-2062 | |
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