Organization
PRIDGEN CHIROPRACTIC & WELLNESS CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO DAVID PRIDGEN JR. DC (PRESIDENT)
(229) 244-5314
Entity
Organization
Contact information
Practice address
3338 COUNTRY CLUB RD, BULDG F STE3, VALDOSTA, GA 31605-1044
(229) 244-5314
Mailing address
3338 COUNTRY CLUB RD, BLDG F STE3, VALDOSTA, GA 31605-1044
(229) 244-5314
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
1133
GA
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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