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Organization
DR. BRIAN GILLIS P C
Active
Organization
DR. BRIAN GILLIS P C
Active
Other names
Perry Chiropractic health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD BRIAN GILLIS DC (OWNER)
(478) 987-9666
Entity
Organization
Contact information
Practice address
1207 HOUSTON LAKE DR STE C, PERRY, GA 31069-3590
(478) 987-9666
(478) 988-8091
Mailing address
PO BOX 628, PERRY, GA 31069-0628
(478) 987-9666
(478) 988-8091
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO05526
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000806616A
—
GA
01
—
DH0819
RAILROAD MEDICARE
GA
Enumeration date
01/29/2007
Last updated
07/30/2008
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