Individual
DR. REN R HALVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C. P.C.
Contact information
Practice address
3366 CYPRESS MILL RD., BRUNSWICK, GA 31520-4712
(912) 262-9735
(912) 262-9634
Mailing address
3366 CYPRESS MILL RD., BRUNSWICK, GA 31520-4712
(912) 262-9735
(912) 262-9634
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR001742
GA
Other
Enumeration date
02/28/2006
Last updated
10/24/2012
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