MICHAEL CLIFFORD BASILLE

COLLEGE PARK, GA
NPI1801929930
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: GA  CHIR006552)
Enumeration Date2007-03-14
Last Update Date2007-07-08
Business Address
Dr. MICHAEL CLIFFORD BASILLE D.C.
1624 VIRGINIA AVE
COLLEGE PARK, GA 30337-2824
Phone number: 404-781-2225
Mailing Address
Dr. MICHAEL CLIFFORD BASILLE D.C.
PO BOX 941188
ATLANTA, GA 31141-0188
Phone number: 678-701-2225
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