Organization
SOUTH GEORGIA CLINIC OF CHIROPRACTIC MEDICINE
Active
Other names
Sircy Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL FRANKLIN SIRCY III D.C. (PRESIDENT)
(229) 985-1370
Entity
Organization
Contact information
Practice address
720 S MAIN ST, MOULTRIE, GA 31768-5450
(229) 985-1370
Mailing address
720 S MAIN ST, MOULTRIE, GA 31768-5450
(229) 985-1370
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005944
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52671605
BCBS
GA
05
—
55003710A
—
GA
Enumeration date
11/16/2006
Last updated
02/01/2008
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