Provider Demographics
NPI:1811148877
Name:HEALTHY4LIFE INTEGRATED MEDICINE, INC
Entity type:Organization
Organization Name:HEALTHY4LIFE INTEGRATED MEDICINE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:ALDRICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-735-7115
Mailing Address - Street 1:118 SPRINGHALL DR STE B
Mailing Address - Street 2:
Mailing Address - City:GOOSE CREEK
Mailing Address - State:SC
Mailing Address - Zip Code:29445-5360
Mailing Address - Country:US
Mailing Address - Phone:843-735-7115
Mailing Address - Fax:843-735-7114
Practice Address - Street 1:118 SPRINGHALL DR STE B
Practice Address - Street 2:
Practice Address - City:GOOSE CREEK
Practice Address - State:SC
Practice Address - Zip Code:29445-5360
Practice Address - Country:US
Practice Address - Phone:843-735-7115
Practice Address - Fax:843-735-7114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-08
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty