Organization
EAST GEORGIA CLINIC OF CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL CLAYTON LITWILLER D.C. (OWNER)
93092649802
Entity
Organization
Contact information
Practice address
403 SHADRACK ST, WAYNESBORO, GA 30830-1540
(706) 554-9237
Mailing address
403 SHADRACK ST, WAYNESBORO, GA 30830-1540
(706) 554-9237
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008411
GA
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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