Individual
DR. MATTHEW LAVENGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
300 W HOSPITAL RD # 6C-03, FT EISENHOWER, GA 30905-5741
(706) 787-8841
Mailing address
300 W HOSPITAL RD # 6C-03, FT EISENHOWER, GA 30905-5741
(706) 787-8841
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009926
GA
Other
Enumeration date
06/05/2018
Last updated
08/22/2023
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