Organization
FULLER LIFE CHIROPRACTIC CENTER
Active
Parent organization
FULLERLIFE CHIROPRACTIC CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
FULLERLIFE CHIROPRACTIC CENTER
Authorized official
RONALD FULLER DC (PRESIDENT)
(678) 432-4755
Entity
Organization
Contact information
Practice address
1619 HWY 19 NORTH, THOMASTON, GA 30286
(678) 432-4755
(678) 432-4753
Mailing address
PO BOX 307, MANCHESTER, GA 31816
(678) 432-4755
(678) 432-4753
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
01/13/2013
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