Organization
ATLAS-COCCYX CHIROPRACTIC CENTER, PSC
Active
Other names
A-C Chiropractic Center, PSC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDNEY J GUTTING DC (PRIMARY DOCTOR)
(270) 474-8266
Entity
Organization
Contact information
Practice address
166 MARY DR, MURRAY, KY 42071
(270) 474-8266
Mailing address
166 MARY DR, MURRAY, KY 42071
(270) 474-8266
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3055
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000001825100
ANTHEM PROVIDER ID
KY
01
—
MW02079P
EDI ANTHEM ID
KY
Enumeration date
11/02/2006
Last updated
08/22/2020
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