Organization
CHIROPRACTIC GAME CHANGERS, LLC
Active
Other names
LifeGiving Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL CLAVELL (OWNER/DC)
(770) 943-1425
Entity
Organization
Contact information
Practice address
2615 E WEST CONNECTOR STE 108, AUSTELL, GA 30106-6854
(770) 943-1425
(770) 943-1452
Mailing address
2615 E WEST CONNECTOR STE 108, AUSTELL, GA 30106-6854
(770) 943-1425
(770) 943-1452
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008695
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHIR008695
CHIROPRACTIC LICENSE
GA
Enumeration date
08/23/2017
Last updated
12/02/2022
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