Organization
SOUTHSIDE FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TATUM JOHNSTON DC (OWNER)
(770) 892-2356
Entity
Organization
Contact information
Practice address
1040 SULLIVAN RD, NEWNAN, GA 30265-1723
(770) 892-2356
Mailing address
1040 SULLIVAN RD, NEWNAN, GA 30265-1723
(770) 892-2356
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIR008893
GA
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/27/2015
Last updated
10/14/2022
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