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Organization
HIRAM CHIROPRACTIC
Active
Organization
HIRAM CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS A LAROSS D.C (CHIROPRACTOR)
(770) 222-7555
Entity
Organization
Contact information
Practice address
4484 JIMMY LEE SMITH PKWY, SUITE F 201, HIRAM, GA 30141-2737
(770) 222-7555
(770) 222-1919
Mailing address
4484 JIMMY LEE SMITH PKWY, SUITE F 201, HIRAM, GA 30141-2737
(770) 222-7555
(770) 222-1919
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR006046
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP4984
GROUP NUMBER
GA
Enumeration date
01/29/2008
Last updated
01/29/2008
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