Organization
EASTSIDE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN KEITH HOOPER D.C. (OWNER/CEO)
(706) 310-1121
Entity
Organization
Contact information
Practice address
1011 WOODRIDGE LANE, BLDG. 301, WATKINSVILLE, GA 30677-6077
(706) 310-1121
(706) 310-1165
Mailing address
1011 WOODRIDGE LANE, BLDG. 301, WATKINSVILLE, GA 30677-6077
(706) 310-1121
(706) 310-1165
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6752
GA
Other
Enumeration date
09/06/2006
Last updated
08/22/2020
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