Organization
HAPPY SPINE HEALTHY LIFE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY MCKENZIE BOHAN DC (CHIROPRACTOR)
(678) 595-4320
Entity
Organization
Contact information
Practice address
4530 NELSON BROGDON BLVD, BUFORD, GA 30518-5412
(770) 271-8949
Mailing address
953 PORT WEST DR, AUBURN, GA 30011-4607
(678) 595-4320
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009960
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912418955
—
GA
Enumeration date
11/03/2017
Last updated
11/03/2017
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