Divine Life Health Center LLC

NPI #1306204623 in North Myrtle Beach, South Carolina

Provider Information

NPI Number: 1306204623
Entity Type: Organization
Organization Name: Divine Life Health Center LLC
Primary Specialty: Chiropractor
Enumeration Date: Feb 1, 2016
Last Updated: Nov 15, 2018

Practice Location

Address: 2200 PREMIER RESORT BLVD UNIT A
City: North Myrtle Beach
State: South Carolina
ZIP Code: 29582-9203
Phone: (843) 877-1696

Authorized Official

Name: DR. CHRISTINE MARY GRAHAM, DC
Title: CHIROPRACTOR
Phone: (843) 877-1696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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