Provider First Line Business Practice Location Address:
LIFE LINE CHIROPRACTIC
Provider Second Line Business Practice Location Address:
1151 ROBERT GRISSOM PKWY
Provider Business Practice Location Address City Name:
MYRTLE BEACH
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29577
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-839-5588
Provider Business Practice Location Address Fax Number:
843-839-5591
Provider Enumeration Date:
12/13/2006