Provider First Line Business Practice Location Address:
921 LONGTOWN RD STE F
Provider Second Line Business Practice Location Address:
ACTIVE LIFE CHIROPRACTIC & WELLNESS
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29229
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-699-0266
Provider Business Practice Location Address Fax Number:
803-699-7525
Provider Enumeration Date:
05/11/2016