Organization
CHIMEDICAL DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY HUMAN D.O. (MEDICAL MANAGER)
(214) 619-2300
Entity
Organization
Contact information
Practice address
541 FOREST PKWY, SUITE #14, FOREST PARK, GA 30297-6144
(877) 298-7705
(866) 837-9033
Mailing address
PO BOX 1611, PHENIX CITY, AL 36868-1611
(877) 298-7705
(866) 837-9033
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4974
GA
111N00000X
Chiropractor
—
—
208D00000X
General Practice Physician
Primary
056072
GA
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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