# HIRAM CHIROPRACTIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851578207
- **Authorized official:** DR. DOUGLAS A LAROSS D.C (CHIROPRACTOR)
- **Authorized official phone:** (770) 222-7555

## Contact information

- **Practice address:** 4484 JIMMY LEE SMITH PKWY, SUITE F 201, HIRAM, GA 30141-2737
- **Practice address phone:** (770) 222-7555
- **Practice address fax:** (770) 222-1919
- **Mailing address:** 4484 JIMMY LEE SMITH PKWY, SUITE F 201, HIRAM, GA 30141-2737
- **Mailing address phone:** (770) 222-7555
- **Mailing address fax:** (770) 222-1919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CHIR006046 | GA | Yes |

## Other

- **Enumeration date:** 01/29/2008
- **Last updated:** 01/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | GRP4984 | GROUP NUMBER | GA |