Organization
LIFE SOURCE HEALING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BECKY LAIRD DC (OWNER)
(706) 369-3600
Entity
Organization
Contact information
Practice address
1492 PRINCE AVE, ATHENS, GA 30606-2210
(706) 369-3600
(706) 208-0021
Mailing address
1492 PRINCE AVE, ATHENS, GA 30606-2210
(706) 369-3600
(706) 208-0021
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO6863
GA
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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