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Organization

LAKESIDE INTEGRATED GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM TERRY CREWS III D.C. (PRESIDENT)
(770) 538-0330
Entity
Organization

Contact information

Practice address
1864 THOMPSON BRIDGE ROAD, GAINESVILLE, GA 30501
(770) 538-0330
(770) 535-0643
Mailing address
1864 THOMPSON BRIDGE RD, GAINESVILLE, GA 30501-1119
(770) 538-0330
(770) 535-0643

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5133
GA

Other

Enumeration date
08/31/2015
Last updated
08/31/2015
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