Individual
KYLE REGISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
416 TIFT AVE N, TIFTON, GA 31794-4466
(229) 386-8800
Mailing address
416 TIFT AVE N, TIFTON, GA 31794-4466
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008353
GA
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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