Organization
LAKESIDE FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE JUNTZ DC (PRESIDENT)
(843) 327-3338
Entity
Organization
Contact information
Practice address
101 CHASE CT NW STE D, MILLEDGEVILLE, GA 31061-7190
(843) 327-3338
Mailing address
1011 JACKSON LN, GREENSBORO, GA 30642-4880
(843) 327-3338
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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