ACTIVE LIFE, LLC is a primary care clinic center in Charleston, SC. ACTIVE LIFE, LLC NPI is 1245549096. The provider is registered as an organization entity type.
The provider's business location address is:
125 WAPPOO CREEK DR
SUITE 202
CHARLESTON, SC
ZIP 29412-163
Phone: (843) 588-5133
The provider's authorized official is Kelly Erin O'neill .
The authorized official title is Doctor/owner and has the following contact phone number (843) 588-5133.
The enumeration date for this NPI number is 9/28/2010 and was last updated on 9/28/2010.