# LAWRENCEVILLE CHIROPRACTIC CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr. Randy L. McSkulin
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215257746
- **Authorized official:** DR. RANDY L MCSKULIN DC (PRESIDENT)
- **Authorized official phone:** (770) 361-8352

## Contact information

- **Practice address:** 465 DACULA RD, DACULA, GA 30019-2170
- **Practice address phone:** (770) 822-1922
- **Practice address fax:** (770) 082-2196
- **Mailing address:** 2295 PEMBERTON PT, BUFORD, GA 30519-7536
- **Mailing address phone:** (770) 361-8352
- **Mailing address fax:** (770) 904-7027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2968 | GA | Yes |

## Other

- **Enumeration date:** 06/07/2010
- **Last updated:** 06/07/2010