NPI | 1043324296 |
---|---|
Doing Business As | ADVANCED CHIROPRACTIC CENTER |
Entity Type | Organization |
Authorized Contact | REN R HALVERSON Owner/Administrator 912-262-9735 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA GA1742) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIRO01742) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2023-05-05 |