Individual
M. CHAD LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1477 US HIGHWAY 19 S, LEESBURG, GA 31763-4868
(229) 436-1191
(229) 436-1140
Mailing address
1477 US HIGHWAY 19 S, P O BOX 734, LEESBURG, GA 31763-4868
(229) 436-1191
(229) 436-1140
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH00002535
WA
111N00000X
Chiropractor
Primary
CHIR003115
GA
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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