Individual
DR. DUSTY LARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4931 RIVERSIDE DR STE 300A, MACON, GA 31210-1168
(478) 257-6114
(478) 238-5415
Mailing address
4931 RIVERSIDE DR STE 300A, MACON, GA 31210-1168
(478) 257-6114
(478) 238-5415
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008931
GA
Other
Enumeration date
01/18/2012
Last updated
12/04/2023
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