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Organization

100 CHIRO BAYLESS, PLLC

Active
Other names
100 Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BENNETT BAYLESS DC (OWNER/ CHIROPRACTOR)
(615) 715-7983
Entity
Organization

Contact information

Practice address
15280 S JOG RD STE D, DELRAY BEACH, FL 33446-2169
(615) 715-7983
Mailing address
1314 CALDERWOOD CT SE, SMYRNA, GA 30080-3950
(615) 715-7983

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
04/11/2023
Last updated
04/11/2023
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