Provider Demographics
NPI:1194902684
Name:INDIGO HEALTH, LLC
Entity type:Organization
Organization Name:INDIGO HEALTH, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARBIT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-216-7246
Mailing Address - Street 1:3404 SALTERBECK CT
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-7119
Mailing Address - Country:US
Mailing Address - Phone:843-216-7246
Mailing Address - Fax:843-216-8123
Practice Address - Street 1:3404 SALTERBECK CT
Practice Address - Street 2:SUITE 201
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-7119
Practice Address - Country:US
Practice Address - Phone:843-216-7246
Practice Address - Fax:843-216-8123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC597111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty