Organization
TELFAIR FAMILY CHIROPRACTIC CENTER
Active
Other names
Family Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD E. BASS D.C. (PRESIDENT)
(229) 868-9899
Entity
Organization
Contact information
Practice address
507 E OAK ST, MC RAE, GA 31055-1637
(229) 868-9899
(229) 868-2890
Mailing address
507 E OAK ST, MC RAE, GA 31055-1637
(229) 868-9899
(229) 868-2890
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR006990
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP7218
MEDICARE GROUP
GA
Enumeration date
12/10/2007
Last updated
12/10/2007
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