# DOUG GILES, DC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grand Oak Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619238805
- **Authorized official:** DOUGLAS L GILES DC (OWNER)
- **Authorized official phone:** (706) 543-2584

## Contact information

- **Practice address:** 2425 W BROAD ST, ATHENS, GA 30606-3415
- **Practice address phone:** (706) 543-2584
- **Practice address fax:** (706) 354-0702
- **Mailing address:** 2425 W BROAD ST, ATHENS, GA 30606-3415
- **Mailing address phone:** (706) 543-2584
- **Mailing address fax:** (706) 354-0702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 7421 | GA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2012
- **Last updated:** 07/07/2021