Organization
PHAM CHIROPRACTIC SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HILDA WONELLE MCCLURE (INSURANCE BILLING AGENT)
(770) 591-1808
Entity
Organization
Contact information
Practice address
110 EVANS MILL DR STE 302, DALLAS, GA 30157-1623
(678) 363-3334
(678) 363-3441
Mailing address
110 EVANS MILL DR STE 302, DALLAS, GA 30157-1623
(678) 363-3334
(678) 363-3441
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006474
GA
Other
Enumeration date
11/27/2007
Last updated
01/23/2009
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