Organization · NPI-2

Gainesville Practice Management, LLC

Clinic/Center · Gainesville, GA

NPI number1124753462
StatusActive
Last updated in NPPESJul 20, 2022

Details

NPI
1124753462
Entity type
Organization (NPI-2)
Legal business name
Gainesville Practice Management, LLC
Organization subpart
No
Enumeration date
Jul 20, 2022
Certification date
Jul 20, 2022
Last updated
Jul 20, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Other names

  • Pain And Accident Chiropractic - Gainesville (Doing Business As)

Practice location

250 Dawsonville Hwy Ste B
Gainesville, GA 30501-8571

Phone 470-252-5332

Mailing address

250 Dawsonville Hwy Ste B
Gainesville, GA 30501-8571

Phone 470-252-5332

Authorized official

Michael Duckett
Owner
4044035689

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