Organization
BACK & NECK PAIN CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN K MCKAY DC (PRESIDENT)
(912) 537-2564
Entity
Organization
Contact information
Practice address
509 JACKSON ST, VIDALIA, GA 30474-4720
(912) 537-2564
(912) 538-9391
Mailing address
509 JACKSON ST, VIDALIA, GA 30474-4720
(912) 537-2564
(912) 538-9391
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO001572
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP6174
GRP
GA
Enumeration date
03/11/2008
Last updated
05/05/2008
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