Individual
DR. LEO DAVID PRIDGEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHIORPRACTIC
Contact information
Practice address
3338 COUNTRY CLUB ROAD, BUILDING F STE 3, VALDOSTA, GA 31605-1044
(229) 244-5314
(229) 244-1524
Mailing address
3338 COUNTRY CLUB RD, BUILDING F STE 3, VALDOSTA, GA 31605-1044
(229) 244-5314
(229) 244-1524
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
1133
GA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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