Organization
SOUTHERN CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER TAN BUI DC (OWNER)
(813) 731-0591
Entity
Organization
Contact information
Practice address
110 ROSA AVE, METAIRIE, LA 70005-3414
(504) 832-1426
(504) 832-1426
Mailing address
110 ROSA AVE, METAIRIE, LA 70005-3414
(504) 832-1426
(504) 832-1426
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1506
LA
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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