Organization
DECATUR SPINE & JOINT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN BERNARD COOPER DC (MEMBER)
(877) 495-7773
Entity
Organization
Contact information
Practice address
3755 MEMORIAL DR, DECATUR, GA 30032-2459
(470) 870-9300
(404) 393-8885
Mailing address
PO BOX 1601, PHENIX CITY, AL 36868-1601
(334) 298-7700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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