Organization
NECK & BACK PAIN CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALCOLM D. HILL D.C. (CHIROPRACTOR)
(678) 954-7224
Entity
Organization
Contact information
Practice address
1296 HWY 138, STE 105, RIVERDALE, GA 30296
(678) 954-7224
(678) 954-7226
Mailing address
1296 HWY 138, STE 105, RIVERDALE, GA 30296
(678) 954-7224
(678) 954-7226
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007167
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
352CGTP
MEDICARE
GA
Enumeration date
07/25/2008
Last updated
07/25/2008
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