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Organization
LAKESIDE INTEGRATED GROUP, LLC
Active
Organization
LAKESIDE INTEGRATED GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM TERRY CREWS III D.C. (PRESIDENT)
(770) 538-0330
Entity
Organization
Contact information
Practice address
1864 THOMPSON BRIDGE ROAD, GAINESVILLE, GA 30501
(770) 538-0330
(770) 535-0643
Mailing address
1864 THOMPSON BRIDGE RD, GAINESVILLE, GA 30501-1119
(770) 538-0330
(770) 535-0643
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5133
GA
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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