SOUTHEAST CHIROPRACTIC LLC NPI 1649514761

NPI Information

SOUTHEAST CHIROPRACTIC LLC is a chiropractor in Saint Marys, GA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. SOUTHEAST CHIROPRACTIC LLC NPI is 1649514761. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

775 KINGS BAY RD STE A
SAINT MARYS, GA
ZIP 31558-886
Phone: (912) 576-1234
Fax: (912) 510-5000

The provider's authorized official is Heidi Zubeck .
The authorized official title is Manager and has the following contact phone number (912) 585-7124.

The CLIA number assigned to this NPI record is 11D0265439 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 11/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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