Organization
M. CHAD LARSEN DC PC
Active
Other names
Leesburg Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M. CHAD LARSEN D.C. (OWNER)
(229) 436-1191
Entity
Organization
Contact information
Practice address
1477 US HIGHWAY 19 S, LEESBURG, GA 31763-4868
(229) 436-1191
(229) 436-1140
Mailing address
PO BOX 734, LEESBURG, GA 31763-0734
(229) 436-1191
(229) 436-1140
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/27/2007
Last updated
06/25/2008
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