Individual
DR. CHARLES D. LECROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3542 SIXES RD, STE 100, CANTON, GA 30114-9124
(770) 720-1388
(770) 720-1389
Mailing address
830 LAKE RIDGE CT, CANTON, GA 30114-8995
(404) 348-7250
(770) 720-1389
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008065
GA
Other
Enumeration date
12/22/2006
Last updated
03/03/2011
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