| Balanced Life Wellness | |
|
12a Boardwalk Pl Seneca SC 29678-2671 | |
| (864) 723-3055 | |
| Not Available |
| Full Name | Balanced Life Wellness |
|---|---|
| Speciality | Chiropractor |
| Location | 12a Boardwalk Pl, Seneca, South Carolina |
| Authorized Official Name and Position | Karen Denise Mccurley (SOLE MBR) |
| Authorized Official Contact | 8645909310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Life Wellness 12a Boardwalk Pl Seneca SC 29678-2671 Ph: (864) 723-3055 | Balanced Life Wellness 12a Boardwalk Pl Seneca SC 29678-2671 Ph: (864) 723-3055 |
| NPI Number | 1831703149 |
|---|---|
| Provider Enumeration Date | 09/03/2020 |
| Last Update Date | 09/28/2020 |
| Certification Date | 09/28/2020 |
| Medicare PECOS PAC ID | 9335568187 |
|---|---|
| Medicare Enrollment ID | O20200929001661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831703149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 111N00000X | Chiropractor | () | Primary |
| Provider Name | Karen D Mccurley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467937896 PECOS PAC ID: 4183043938 Enrollment ID: I20200929002074 |
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