Individual
DR. GEORGE ALFRED RIVERA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(571) 801-0731
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(571) 801-0731
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2141
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141
CHIROPRACTIC
CT
Enumeration date
03/18/2019
Last updated
08/07/2025
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