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Organization
VILLA ROSA CHIROPRACTIC, LLC
Active
Organization
VILLA ROSA CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP SANTE BUTCH DC (OWNER)
(330) 501-7671
Entity
Organization
Contact information
Practice address
40 VILLA ROSA RD STE E, TEMPLE, GA 30179-5608
(770) 562-8590
Mailing address
40 VILLA ROSA RD STE E, TEMPLE, GA 30179-5608
(770) 562-8590
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R
R
GA
Enumeration date
06/06/2019
Last updated
06/06/2019
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