Individual
DR. ERIC LEGAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S., D.C, C.S.C.S
Contact information
Practice address
120 WERZ INDUSTRIAL DR., NEWNAN, GA 30263-5802
(770) 912-9797
Mailing address
104 WINDWARD HLS, MCDONOUGH, GA 30253-5991
(770) 912-9797
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIR007959
GA
111NP0017X
Pediatric Chiropractor
CHIR007959
GA
111NR0400X
Rehabilitation Chiropractor
CHIR007959
GA
111NS0005X
Sports Physician Chiropractor
Primary
CHIR007959
GA
Other
Enumeration date
08/02/2011
Last updated
04/13/2012
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