Organization
COLQUITT CHIROPRACTIC, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WINSTON MARK BALL DC (PARTNER)
(229) 985-5000
Entity
Organization
Contact information
Practice address
2939 S MAIN ST, MOULTRIE, GA 31768-6903
(229) 985-5000
(229) 985-1107
Mailing address
PO BOX 2215, MOULTRIE, GA 31776-2215
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR01580
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00519769A
—
GA
Enumeration date
09/19/2012
Last updated
09/19/2012
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