Organization · NPI-2

Abundant Life Family Chiropractic LLC

Chiropractor, Pediatric Chiropractor · Goose Creek, SC

NPI number1245165984
StatusActive
Last updated in NPPESJul 16, 2026

Details

NPI
1245165984
Entity type
Organization (NPI-2)
Legal business name
Abundant Life Family Chiropractic LLC
Organization subpart
No
Enumeration date
Jun 15, 2026
Certification date
Jul 16, 2026
Last updated
Jul 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111NP0017X Chiropractor, Pediatric Chiropractor––Yes

Practice location

118 Springhall Dr Ste C
Goose Creek, SC 29445-5360

Phone 609-338-9963

Mailing address

2811 Haverhill Cir
North Charleston, SC 29420-8919

Phone 609-338-9963

Authorized official

Rebecca Patrick
Doctor
8432034728

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Chiropractor, Pediatric Chiropractor providers in Goose Creek, SC