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Organization

GHM MEDICAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEMITRIOUS GILMORE D.C. (CHIROPRACTOR)
(404) 644-3410
Entity
Organization

Contact information

Practice address
211 W 10TH ST, SUITE B, DALLAS, TX 75208-4533
(404) 644-3410
(877) 748-3269
Mailing address
211 W 10TH ST, SUITE B, DALLAS, TX 75208-4533
(877) 748-3269

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
11705
GA
163WP0000X
Pain Management Registered Nurse
Primary
NO195793
TX

Other

Enumeration date
06/12/2013
Last updated
06/12/2013
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