Organization
WARSHAW CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONTY ROY WARSHAW D.C. (OWNER)
(318) 336-4959
Entity
Organization
Contact information
Practice address
1629 CARTER ST, VIDALIA, LA 71373-3111
(318) 336-4959
Mailing address
1629 CARTER ST, VIDALIA, LA 71373-3111
(318) 336-4959
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1521
LA
Other
Enumeration date
09/08/2009
Last updated
08/14/2012
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