ELITE PERFORMANCE AND PAIN CENTER LLC NPI 1225183783

NPI Information

ELITE PERFORMANCE AND PAIN CENTER LLC is a chiropractor in Charleston, SC. The provider is 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. ELITE PERFORMANCE AND PAIN CENTER LLC NPI is 1225183783. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Active Care Family Chiropractic Llc.

The provider's business location address is:

761 SAINT ANDREWS BLVD
CHARLESTON, SC
ZIP 29407-164
Phone: (843) 873-6004

The provider's authorized official is Jeremiah Jason Jimerson .
The authorized official title is President and has the following contact phone number (843) 873-6004.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 3/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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