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Organization
SPINE TYME CHIROPRACTIC AND WELLNESS
Active
Organization
SPINE TYME CHIROPRACTIC AND WELLNESS
Active
Other names
South GA Chiropractic & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
LASHASTA ROBINSON (DOCTOR)
(229) 474-4069
Entity
Organization
Contact information
Practice address
2601 BEMISS RD STE Q, VALDOSTA, GA 31602-1450
(229) 474-4069
Mailing address
2601 BEMISS RD STE Q, VALDOSTA, GA 31602-1450
(229) 474-4069
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
—
Enumeration date
05/09/2019
Last updated
05/09/2019
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