Organization
SPECIFIC CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT BULKIN D.C. (PRESIDENT)
(770) 513-0950
Entity
Organization
Contact information
Practice address
4799 SUGARLOAF PKWY, STE L, LAWRENCEVILLE, GA 30044-8836
(770) 513-0950
(770) 513-0570
Mailing address
4799 SUGARLOAF PKWY, STE L, LAWRENCEVILLE, GA 30044-8836
(770) 513-0950
(770) 513-0570
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5398
GA
Other
Enumeration date
03/21/2007
Last updated
04/02/2008
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