Organization
FAMILY CHIROPRACTIC LIFE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PATRICK DIBLASI DC (OWNER)
(706) 324-5755
Entity
Organization
Contact information
Practice address
6100 VETERANS PKWY, COLUMBUS, GA 31909-6223
(706) 324-5755
Mailing address
6100 VETERANS PKWY, COLUMBUS, GA 31909-6223
(706) 324-5755
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CHIR001158
GA
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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