Organization
DEEP SOUTH CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROBERT JOHNSON DC (CHIROPRACTOR)
(337) 238-0027
Entity
Organization
Contact information
Practice address
105 WARNER ST, LEESVILLE, LA 71446-2821
(337) 238-0027
(337) 238-0227
Mailing address
105 WARNER STREET, LEESVILLE, LA 71446
(337) 238-0027
(337) 238-0227
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1168
LA
Other
Enumeration date
06/15/2006
Last updated
08/17/2018
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