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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ACTIVE LIFE, LLC

Active Organization

ACTIVE LIFE, LLC is a Primary Care Clinic organization located in CHARLESTON, South Carolina. NPI 1245549096 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · CHARLESTON, SC

Registration Details

NPI Number
1245549096
Provider Type
Organization
NPI Issued
Sep 28, 2010 (15.887896999276 yrs)
Last Updated
Sep 28, 2010
License
3574 (SC)

Practice Information

Address
125 WAPPOO CREEK DR
SUITE 202
CHARLESTON, SC, 294122163
Browse SC providers · Browse ZIP 29412
Phone
8435885133
Primary Specialty
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.