Organization
PARADISE CHIROPRACTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DAVID GOOLSBY DC (OWNER/CHIROPRACTOR)
(864) 350-5974
Entity
Organization
Contact information
Practice address
5305 S 3RD ST, LOUISVILLE, KY 40214-2611
(864) 350-5974
Mailing address
5305 S 3RD ST, LOUISVILLE, KY 40214-2611
(864) 350-5974
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5350
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5350
STATE LICENSURE
KY
Enumeration date
09/27/2012
Last updated
09/27/2012
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