Organization
FULLER LIFE CHIROPRACTIC CENTER
Active
Parent organization
FULLER LIFE CHIROPRACTIC CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
FULLER LIFE CHIROPRACTIC CENTER
Authorized official
RONALD D FULLER D.C. (PRESIDENT)
(678) 432-4755
Entity
Organization
Contact information
Practice address
6298 VETERANS PARKWAY STE 10E, COLUMBUS, GA 31909
(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
005224
GA
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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