Organization
FT VALLEY CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY D SHARPE DC (PRESIDENT)
(478) 825-2941
Entity
Organization
Contact information
Practice address
204 NORTH CAMELLIA BOULEVARD, FORT VALLEY, GA 31030-3005
(478) 825-2941
(478) 825-0495
Mailing address
204 NORTH CAMELLIA BOULEVARD, FORT VALLEY, GA 31030-3005
(478) 825-2941
(478) 825-0495
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR003070
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00590312A
—
GA
Enumeration date
10/03/2006
Last updated
06/27/2008
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