Organization
PROCTOR KEENE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W KEENE D.C. (OWNER)
(706) 291-1971
Entity
Organization
Contact information
Practice address
1101 MARTHA BERRY BLVD NW, ROME, GA 30165-1611
(706) 291-1971
(706) 291-1972
Mailing address
1101 MARTHA BERRY BLVD NW, ROME, GA 30165-1611
(706) 291-1971
(706) 291-1972
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
679
GA
Other
Enumeration date
01/27/2012
Last updated
08/15/2012
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