Organization
GREENSBORO SPORTS, SPINE, &
Active
Other names
Greensboro Sports, Spine & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN ANDREW LANCE (MANAGING MEMBER)
(706) 991-5320
Entity
Organization
Contact information
Practice address
946 HARMONY RD, EATONTON, GA 31024-5877
(706) 991-5320
(866) 720-5313
Mailing address
946 HARMONY RD, EATONTON, GA 31024-5877
(706) 991-5320
(866) 720-5313
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008739
GA
Other
Enumeration date
09/24/2013
Last updated
09/28/2020
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