Organization
CAPITAL CITY CHIROPRACTIC GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMRA S GAUTHIER (VICE PRESIDENT)
(225) 218-9499
Entity
Organization
Contact information
Practice address
10985 N HARRELLS FERRY RD STE G, BATON ROUGE, LA 70816-8362
(225) 218-9499
Mailing address
PO BOX 14149, BATON ROUGE, LA 70898-4149
(225) 218-9499
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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