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Organization

SPINE CARE CHIROPRACTIC CENTER, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON R HOOVER D.C. (OWNER DOCTOR)
(770) 957-4165
Entity
Organization

Contact information

Practice address
130 JOHN FRANK WARD BLVD, MCDONOUGH, GA 30253-3207
(770) 957-4165
(770) 957-2003
Mailing address
130 JOHN FRANK WARD BLVD, MCDONOUGH, GA 30253-3207
(770) 957-4165
(770) 957-2003

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DA7894
RAILROAD MEDICARE
GA
Enumeration date
12/11/2006
Last updated
01/02/2013
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