Organization
BTLCC CORP
Active
Parent organization
BACK TO LIFE CHIROPRACTIC CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BACK TO LIFE CHIROPRACTIC CENTER INC
Authorized official
DR. TAMMI LYN TOMPKINS D.C. (OWNER)
(678) 522-9221
Entity
Organization
Contact information
Practice address
1468 LAFAYETTE PKWY, STE 140, LAGRANGE, GA 30241-2605
(706) 882-5737
Mailing address
12 STONEMILL CT, NEWNAN, GA 30265-1792
(678) 522-9221
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008331
GA
Other
Enumeration date
08/09/2012
Last updated
12/11/2012
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