Organization
LIFETIME CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODY A MATTHEWS DC,BA (OWNER)
(770) 459-5070
Entity
Organization
Contact information
Practice address
120 PROSPECTER DR, VILLA RICA, GA 30180-5331
(770) 459-5070
(770) 459-1070
Mailing address
120 PROSPECTER DR, VILLA RICA, GA 30180-5331
(770) 459-5070
(770) 459-1070
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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