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Organization
COMPLETE BACK AND BODY CARE, INC.
Active
Organization
COMPLETE BACK AND BODY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA C. LASALATA (PRESIDENT)
(770) 719-9166
Entity
Organization
Contact information
Practice address
1260 HIGHWAY 85 N, FAYETTEVILLE, GA 30214-7315
(770) 719-9166
(770) 719-9136
Mailing address
1260 HIGHWAY 85 N, FAYETTEVILLE, GA 30214-7315
(770) 719-9166
(770) 719-9136
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CHIRO07601
GA
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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