Organization
DAHLONEGA CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH LEE TYRE D.C. (CHIROPRACTOR)
(706) 867-0974
Entity
Organization
Contact information
Practice address
89 LONG BRANCH RD, A6, DAHLONEGA, GA 30533-9305
(706) 867-0974
(706) 867-0978
Mailing address
89 LONG BRANCH RD, A6, DAHLONEGA, GA 30533-9305
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO08234
GA
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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