Individual
KARISSA JOY LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
118 S MAIN ST, GREENSBORO, GA 30642-1112
(762) 243-8101
Mailing address
1041 PARKSIDE CMNS STE 102, GREENSBORO, GA 30642-4519
(386) 409-1702
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO10819
GA
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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