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Organization
HAPPY SPINE HEALTHY LIFE CHIROPRACTIC, LLC
Active
Organization
HAPPY SPINE HEALTHY LIFE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY MCKENZIE BOHAN DC (CHIROPRACTOR)
(678) 595-4320
Entity
Organization
Contact information
Practice address
4530 NELSON BROGDON BLVD, BUFORD, GA 30518-5412
(770) 271-8949
Mailing address
953 PORT WEST DR, AUBURN, GA 30011-4607
(678) 595-4320
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009960
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912418955
—
GA
Enumeration date
11/03/2017
Last updated
11/03/2017
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