Organization
FULLER LIFE CHIROPRACTIC CENTER
Active
Parent organization
FULLER LIFE CHROPRACTIC CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
FULLER LIFE CHROPRACTIC CENTER
Authorized official
MR. RONALD FULLER D.C. (PRESIDENT)
(678) 432-4755
Entity
Organization
Contact information
Practice address
23 EAST MAIN STREET, MANCHESTER, GA 31816
(678) 432-4755
(678) 432-4753
Mailing address
PO BOX 307, MANCHESTER, GA 31816
(678) 432-4755
(678) 432-4753
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005224
GA
Other
Enumeration date
12/18/2006
Last updated
01/13/2013
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