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Individual

DR. DANIEL JOE LAVENGOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
300 EAST HOSPITAL RD, 6 EAST, FORT GORDON, GA 30905-5650
(706) 787-5216
Mailing address
300 EAST HOSPITAL RD, 6 EAST, FORT GORDON, GA 30905
(706) 787-5216

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006758
MI

Other

Enumeration date
11/29/2006
Last updated
08/28/2023
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