Organization
PURE CHIROPRACTIC MILLEDGEVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE GERALD SMITH D.C. (OWNER)
(478) 457-0003
Entity
Organization
Contact information
Practice address
130 LOG CABIN RD NE, SUITE B, MILLEDGEVILLE, GA 31061-0917
(478) 457-0003
(478) 457-0053
Mailing address
130 LOG CABIN RD NE, SUITE B, MILLEDGEVILLE, GA 31061-0917
(478) 457-0003
(478) 457-0053
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/22/2012
Last updated
07/02/2012
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