Core Chiropractic Clinic INC.
Chiropractor in Douglasville, GA. Organization (NPI-2).
NPI number1891069688
StatusActive
Last updated in NPPESFeb 27, 2012
Details
- NPI
- 1891069688
- Entity type
- Organization (NPI-2)
- Legal business name
- Core Chiropractic Clinic INC.
- Organization subpart
- No
- Enumeration date
- Feb 27, 2012
- Last updated
- Feb 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 006253 | GA | Yes |
Practice location
6602 Church StDouglasville, GA 30134-1808
Phone 770-942-2396 · Fax 770-942-1788
Mailing address
6602 Church StDouglasville, GA 30134-1808
Phone 770-942-2396 · Fax 770-942-1788
Authorized official
David Michael Lebhaft
President
7709422396
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