Organization
NEW HOPE CHIROPRACTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY Q PHUNG D.C. (OWNER)
(770) 719-2221
Entity
Organization
Contact information
Practice address
740 GLYNN ST N STE E, FAYETTEVILLE, GA 30214-6707
(770) 719-2221
(770) 719-2210
Mailing address
740 GLYNN ST N STE E, FAYETTEVILLE, GA 30214-6707
(770) 719-2221
(770) 719-2210
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
CHIR008288
GA
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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