Organization
AZALEA CITY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL SCOTT MINK D.C. (OWNER)
22924193000
Entity
Organization
Contact information
Practice address
2231 BEMISS RD STE B, VALDOSTA, GA 31602-4812
(229) 241-9300
Mailing address
2231 BEMISS RD STE B, VALDOSTA, GA 31602-4812
(229) 241-9300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008116
GA
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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