Organization
DYNAMIC SPINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN R WALTON D.C. (CO OWNER/ CLINICAL DIRECTOR)
(770) 742-9801
Entity
Organization
Contact information
Practice address
2836 HIGHWAY 54, SUITE 2836, PEACHTREE CITY, GA 30269-1026
(770) 742-9801
Mailing address
2836 HIGHWAY 54, SUITE 2836, PEACHTREE CITY, GA 30269-1026
(770) 742-9801
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CHIR009256
GA
111NS0005X
Sports Physician Chiropractor
CHIR009256
GA
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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