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Organization

SOUTH GEORGIA CLINIC OF CHIROPRACTIC MEDICINE

Active
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Organization

SOUTH GEORGIA CLINIC OF CHIROPRACTIC MEDICINE

Active
Other names
Sircy Chiropractic Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARL FRANKLIN SIRCY III D.C. (PRESIDENT)
(229) 985-1370
Entity
Organization

Contact information

Practice address
720 S MAIN ST, MOULTRIE, GA 31768-5450
(229) 985-1370
Mailing address
720 S MAIN ST, MOULTRIE, GA 31768-5450
(229) 985-1370

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005944
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52671605
BCBS
GA
05
—
55003710A
—
GA
Enumeration date
11/16/2006
Last updated
02/01/2008
About Stedi
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  • EDI platform