Organization
LAGRANGE CLINIC OF CHIROPRACTIC INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY N GARRISON (OFFICE MANAGER)
(706) 882-1000
Entity
Organization
Contact information
Practice address
403 RIDLEY AVE, LAGRANGE, GA 30240-2231
(706) 882-1000
Mailing address
PO BOX 1010, LAGRANGE, GA 30241-0018
(706) 882-1000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007612
GA
Other
Enumeration date
05/03/2007
Last updated
02/26/2013
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