Organization
BACK IN LINE SYSTEMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LADONNA C BENSE D.C. (OWNER)
(770) 505-5665
Entity
Organization
Contact information
Practice address
110 EVANS MILL DR STE 105, DALLAS, GA 30157-1643
(770) 505-5665
Mailing address
110 EVANS MILL DR STE 105, DALLAS, GA 30157-1643
(770) 505-5665
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO08541
GA
Other
Enumeration date
02/02/2010
Last updated
06/01/2012
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