Organization
G & A ENTERPRISES PC
Active
Other names
COMMUNITY CHIROPRACTIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE A WOOD JR. DC (OWNER)
(570) 992-1011
Entity
Organization
Contact information
Practice address
RT 209 REGENCY PLAZA, STE 9, BRODHEADSVILLE, PA 18322-1221
(570) 992-1011
(570) 402-3534
Mailing address
PO BOX 1221, RT 209 REGENCY PLAZA STE 9, BRODHEADSVILLE, PA 18322-1221
(570) 992-1011
(570) 402-3534
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009149
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001672673
HIGHMARK BS
PA
01
—
088648TX8
MEDICARE INDIVIDUAL PETAN
PA
01
—
1417921099
INDIVIDUAL NPI
PA
Enumeration date
09/16/2008
Last updated
09/16/2008
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