NPI age
18 years
Enumerated 2007-07-25
Across 4970 active chiropractor providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (SC) | 00639 | MEDICARE PTAN GROUP |
| 01 (SC) | 6108001 | MEDICARE PTAN INDIVIDUAL |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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