Organization
100 PERCENT CHIROPRACTIC ODOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS WILLIAM ODOM DC (OWNER)
(912) 541-6366
Entity
Organization
Contact information
Practice address
15 THOMAS GRACE ANNEX LN, 450, SHARPSBURG, GA 30277-3653
(912) 541-6366
Mailing address
15 THOMAS GRACE ANNEX LN, 450, SHARPSBURG, GA 30277-3653
(912) 541-6366
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008457
GA
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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