Provider Demographics
NPI:1912080243
Name:SYNERGY HEALTH AND WELLNESS INC
Entity Type:Organization
Organization Name:SYNERGY HEALTH AND WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDRICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-408-2352
Mailing Address - Street 1:311 JOHNNIE DODDS BLVD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-2975
Mailing Address - Country:US
Mailing Address - Phone:843-884-4877
Mailing Address - Fax:843-884-4824
Practice Address - Street 1:311 JOHNNIE DODDS BLVD
Practice Address - Street 2:SUITE 111
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-2975
Practice Address - Country:US
Practice Address - Phone:843-884-4877
Practice Address - Fax:843-884-4824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3134111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC8609Medicare PIN