Organization
GEORGIA CLINIC OF CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LESLIE HUNTSMAN D.C. (OWNER)
(618) 922-2948
Entity
Organization
Contact information
Practice address
205 OLD BLACKSTONE CAMP RD, MARTINEZ, GA 30907-9459
(618) 922-2948
Mailing address
205 OLD BLACKSTONE CAMP RD, MARTINEZ, GA 30907-9459
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008712
GA
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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