Dr. Herbert F. Congram, D.C.
Chiropractor in Fitzgerald, GA. Individual provider (NPI-1).
NPI number1619087830
StatusActive
Last updated in NPPESJan 14, 2009
Details
- NPI
- 1619087830
- Entity type
- Individual (NPI-1)
- Name
- Dr. Herbert F. Congram
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2006
- Last updated
- Jan 14, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CHIR008315 | GA | Yes |
Other names
- Herb. F. Congram (Other Name)
Practice location
219 Haile Booker RdFitzgerald, GA 31750-8725
Phone 229-423-0550 · Fax 229-424-0923
Mailing address
219 Haile Booker RdFitzgerald, GA 31750-8725
Phone 229-423-0550 · Fax 229-424-0923
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