Individual
MATTHEW SUPNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
40 EASTBROOK BND STE C, PEACHTREE CITY, GA 30269-1567
(706) 846-2787
Mailing address
PO BOX 307, MANCHESTER, GA 31816-0307
(706) 846-2787
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010634
GA
Other
Enumeration date
10/13/2021
Last updated
07/19/2022
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