Organization
SOURCE CHIROPRACTIC & REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CHRISTOPHER EDWARDS D.C., C.C.S.P. (OWNER)
(504) 324-5617
Entity
Organization
Contact information
Practice address
4033 VETERANS MEMORIAL BLVD, SUITE D, METAIRIE, LA 70002-5525
(504) 324-5617
(504) 324-5618
Mailing address
4033 VETERANS MEMORIAL BLVD, SUITE D, METAIRIE, LA 70002-5525
(504) 324-5617
(504) 324-5618
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
1364
LA
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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