Organization
COMMERCE SPINAL CENTER,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH LEE FLINT D.C. (OWNER)
(706) 335-6025
Entity
Organization
Contact information
Practice address
2331 N ELM ST, COMMERCE, GA 30529-2243
(706) 335-6026
Mailing address
P O BOX 578, COMMERCE, GA 30529
(706) 335-6025
(706) 335-3720
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4746
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000752562A
—
GA
Enumeration date
09/21/2006
Last updated
04/15/2015
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