Organization
COMPLETE BACK AND BODY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA C. LASALATA (PRESIDENT)
(770) 719-9166
Entity
Organization
Contact information
Practice address
1260 HIGHWAY 85 N, FAYETTEVILLE, GA 30214-7315
(770) 719-9166
(770) 719-9136
Mailing address
1260 HIGHWAY 85 N, FAYETTEVILLE, GA 30214-7315
(770) 719-9166
(770) 719-9136
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CHIRO07601
GA
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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