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Organization
ADVANCED SPINAL CARE
Active
Organization
ADVANCED SPINAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH MILLER MICHAUX JR. D.C (DOCTOR/OWNER)
(571) 258-1352
Entity
Organization
Contact information
Practice address
552 FORT EVANS RD, SUITE 306, LEESBURG, VA 20176-3378
(571) 258-1352
(571) 258-1354
Mailing address
552 FORT EVANS RD, SUITE 306, LEESBURG, VA 20176-3378
(571) 258-1352
(571) 258-1354
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556588
VA
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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