NPI | 1336219609 |
---|---|
Former Legal Business Name | PROCTOR CLINIC |
Entity Type | Organization |
Authorized Contact | MAX DOYAL PROCTOR Clinic Director 706-629-7340 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA GA1088) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2020-08-22 |