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Organization
AXIOM CHIROPRACTIC LLC
Active
Organization
AXIOM CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH J TEMPLETON DC (OWNER)
(770) 537-5555
Entity
Organization
Contact information
Practice address
507 ALABAMA AVE S, BREMEN, GA 30110-2007
(770) 537-5555
(770) 537-0548
Mailing address
507 ALABAMA AVE S, BREMEN, GA 30110-2007
(770) 537-5555
(770) 537-0548
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR002627
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558423830
MEDICARE ID PTAN 202I357663
GA
Enumeration date
07/19/2016
Last updated
04/13/2023
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