Larson Chiropractic,pc

NPI 1073706511 - Point of Service - 305S00000X

NPI Details
NPI 1073706511
Enumeration Date 08/18/2007
Last Updated 12/12/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ERIC JOHN ERIC
Position OWNER
Phone (706) 210-8550
Fax (706) 210-7105
Practice Location
4336B WASHINGTON RD
EVANS GA, 30809-3958, US
Phone (706) 210-8550
Fax (706) 210-7105
Business Location
4336B WASHINGTON RD
EVANS GA, 30809-3958, US
Phone (706) 210-8550
Fax (706) 210-7105
Toxanomy
Taxonomy Code 305S00000X
License State Georgia
License Number CHIRO07425
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According to our database, Larson Chiropractic,pc NPI is 1073706511, taxonomy code is 305S00000X and license number is CHIRO07425, license state is located at Georgia. Larson Chiropractic,pc physically located at 4336b Washington Rd, Evans GA, 30809-3958. NPI Number 1033115704 has the healthcare provider type.

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1073706511 NPI number is provided on an as is basis without warranty of any kind. 1073706511 is maintained by the National Plan & Provider Enumeration System. The contents of Larson Chiropractic,pc are for informational purposes only.