Organization
GADDIS CHIROPRACTIC CENTER PLLC
Active
Organization
GADDIS CHIROPRACTIC CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL GADDIS DC (OWNER)
(606) 272-6227
Entity
Organization
Contact information
Practice address
100 HIGHWAY 15 S STE 138, JACKSON, KY 41339-8636
(606) 272-6227
Mailing address
100 HIGHWAY 15 S STE 138, JACKSON, KY 41339-8636
(606) 272-6227
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100821310
—
KY
Enumeration date
05/09/2022
Last updated
01/03/2023
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