Bridgemill Family Healthcare, Llc

NPI 1083986681 - Chiropractor - 111N00000X

NPI Details
NPI 1083986681
Enumeration Date 01/30/2012
Last Updated 01/30/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name OTIS OTIS
Position ATTORNEY
Phone (770) 704-4580
Fax
Practice Location
3760 SIXES RD
SUITE 120
CANTON GA, 30114-8192, US
Phone (770) 704-4580
Fax
Business Location
3760 SIXES RD
SUITE 120
CANTON GA, 30114-8192, US
Phone (770) 704-4580
Fax
Toxanomy
Taxonomy Code 111N00000X
License State
License Number
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According to our database, Bridgemill Family Healthcare, Llc NPI is 1083986681, taxonomy code is 111N00000X Bridgemill Family Healthcare, Llc physically located at 3760 Sixes Rd, Canton GA, 30114-8192. NPI Number 1033115704 has the healthcare provider type.

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1083986681 NPI number is provided on an as is basis without warranty of any kind. 1083986681 is maintained by the National Plan & Provider Enumeration System. The contents of Bridgemill Family Healthcare, Llc are for informational purposes only.