Organization
ADVANCED CHIROPRACTIC & WELLNESS CENTER OF STATESBORO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIANCARLO GUTIERREZ D.C. (OWNER/MEMBER/MANAGER)
(912) 489-5111
Entity
Organization
Contact information
Practice address
317 S MAIN ST, STATESBORO, GA 30458-0715
(912) 489-5111
(912) 489-5171
Mailing address
317 S MAIN ST, STATESBORO, GA 30458-0715
(912) 489-5111
(912) 489-5171
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008419
GA
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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