Organization
CORE CHIROPRACTIC CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL LEBHAFT D.C. (PRESIDENT)
(770) 942-2396
Entity
Organization
Contact information
Practice address
6602 CHURCH ST, DOUGLASVILLE, GA 30134-1808
(770) 942-2396
(770) 942-1788
Mailing address
6602 CHURCH ST, DOUGLASVILLE, GA 30134-1808
(770) 942-2396
(770) 942-1788
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006253
GA
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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