Organization
LAKE COUNTRY FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WAYNE EVANS JR. DC (CHIROPRACTOR/CO-OWNER)
(706) 991-5348
Entity
Organization
Contact information
Practice address
112 HARMONY XING STE 1, EATONTON, GA 31024-9536
(706) 991-5348
Mailing address
112 HARMONY XING STE 1, EATONTON, GA 31024-9536
(706) 991-5348
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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