Organization
PROCTOR CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WILLIAM PROCTOR D.C. (PRESIDENT)
(770) 383-9605
Entity
Organization
Contact information
Practice address
1010 N TENNESSEE ST, SUITE 116, CARTERSVILLE, GA 30120-8525
(770) 383-9605
(770) 383-9606
Mailing address
PO BOX 200066, CARTERSVILLE, GA 30120-9002
(770) 383-9605
(770) 383-9606
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIROOO514
GA
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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