Organization
FAIRVIEW CHIROPRACTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL-ANN ELIZABETH COZIER-DOUGLAS DC (PRESIDENT)
(770) 389-1901
Entity
Organization
Contact information
Practice address
421 FAIRVIEW RD, ELLENWOOD, GA 30294-2632
(770) 389-1901
Mailing address
421 FAIRVIEW RD, ELLENWOOD, GA 30294-2632
(770) 389-1901
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CHIR06312
GA
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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