Organization
GEORGIA CHIROPRACTIC GROUP AT SIXES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES D. LECROY DC (MEMBER)
(770) 720-1388
Entity
Organization
Contact information
Practice address
3542 SIXES RD, STE 100, CANTON, GA 30114-8961
(770) 720-1388
(770) 720-1389
Mailing address
3542 SIXES RD, STE 100, CANTON, GA 30114-9124
(770) 720-1388
(770) 720-1389
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008065
GA
Other
Enumeration date
08/17/2009
Last updated
08/13/2012
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