NPI 1245165984 · live from the CMS NPI Registry
Abundant Life Family Chiropractic LLC
Chiropractor, Pediatric Chiropractor in Goose Creek, SC. National Provider Identifier 1245165984, active.
NPI record
| NPI | 1245165984 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor, Pediatric Chiropractor 111NP0017X |
| Practice location | 118 Springhall Dr Ste C, Goose Creek, SC 29445 |
| Practice phone | 609-338-9963 |
| Mailing address | 2811 Haverhill Cir, North Charleston, SC 29420 |
| Enumerated | June 15, 2026 |
| Last updated | July 16, 2026 |
| Authorized official | Rebecca Patrick, Doctor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor, Pediatric Chiropractor primary | 111NP0017X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.