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Organization

BACK TO LIFE CHIROPRACTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONN MITCHELL BLENCOWE D.C. (OWNER/SOLE PROPRIETOR)
(770) 833-2860
Entity
Organization

Contact information

Practice address
37 STATE ST, COMMERCE, GA 30529-1920
(706) 944-3472
Mailing address
37 STATE ST, COMMERCE, GA 30529-1920
(706) 944-3472

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009368
GA

Other

Enumeration date
05/11/2017
Last updated
12/19/2019
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