Organization
DAWSON SPINE & SPORT CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT M DAWSON DO (OWNER/DO)
(502) 465-0055
Entity
Organization
Contact information
Practice address
410 W JEFFERSON ST, LA GRANGE, KY 40031-1114
(502) 465-0055
(502) 265-1215
Mailing address
410 W JEFFERSON ST, LA GRANGE, KY 40031-1114
(502) 465-0055
(502) 265-1215
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Enumeration date
08/14/2020
Last updated
10/13/2020
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