Healthcare Provider Details

I. General information

NPI: 1245165984
Provider Name (Legal Business Name): ABUNDANT LIFE FAMILY CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 SPRINGHALL DR STE C
GOOSE CREEK SC
29445-5360
US

IV. Provider business mailing address

2811 HAVERHILL CIR
NORTH CHARLESTON SC
29420-8919
US

V. Phone/Fax

Practice location:
  • Phone: 609-338-9963
  • Fax:
Mailing address:
  • Phone: 609-338-9963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: REBECCA PATRICK
Title or Position: DOCTOR
Credential: DC
Phone: 843-203-4728