Organization
SHELL CHIROPRACTIC, LLC
Active
Other names
Shell Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON G. GRANT D.C. (OWNER/CHIROPRACTOR)
(318) 387-5388
Entity
Organization
Contact information
Practice address
3219 STERLINGTON RD., MONROE, LA 71203-2519
(318) 387-5388
(318) 325-9882
Mailing address
3219 STERLINGTON RD., MONROE, LA 71203-2519
(318) 387-5388
(318) 325-9882
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1002
LA
111N00000X
Chiropractor
1397
LA
111N00000X
Chiropractor
Primary
805
LA
Other
Enumeration date
09/08/2006
Last updated
03/25/2014
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