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Organization
TELFAIR FAMILY CHIROPRACTIC CENTER
Active
Organization
TELFAIR FAMILY CHIROPRACTIC CENTER
Active
Other names
Family Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD E. BASS D.C. (PRESIDENT)
(229) 868-9899
Entity
Organization
Contact information
Practice address
507 E OAK ST, MC RAE, GA 31055-1637
(229) 868-9899
(229) 868-2890
Mailing address
507 E OAK ST, MC RAE, GA 31055-1637
(229) 868-9899
(229) 868-2890
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR006990
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP7218
MEDICARE GROUP
GA
Enumeration date
12/10/2007
Last updated
12/10/2007
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