Organization
LOVING CARE FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELBONIE N PRESTON (PRESIDENT)
(678) 884-3778
Entity
Organization
Contact information
Practice address
5336 E MOUNTAIN ST, STONE MOUNTAIN, GA 30083-3031
(678) 884-3778
(866) 810-3847
Mailing address
5336 E MOUNTAIN ST, STONE MOUNTAIN, GA 30083-3031
(678) 884-3778
(866) 810-3847
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007958
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417049172
INDIVIDUAL
GA
Enumeration date
10/16/2006
Last updated
07/23/2020
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