Organization
B G C CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SMITH D.C. (PRESIDENT)
(808) 248-8511
Entity
Organization
Contact information
Practice address
4216 HANA HWY, HANA, HI 96713
(808) 248-8511
(808) 248-8511
Mailing address
4216 HANA HWY, HANA, HI 96713
(808) 248-8511
(808) 248-8511
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC804
HI
Other
Enumeration date
06/18/2007
Last updated
08/22/2020
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