Individual provider · Type 1 NPI

M. Chad Larsen, DC

Chiropractor · Leesburg, GA

NPI number 1003971458 Active

Practice location

1477 US Highway 19 S
Leesburg, GA 31763-4868

Fax (229) 436-1140

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIR003115 (GA)
Chiropractor 111N00000XCH00002535 (WA)

Chiropractor: 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.

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About NPI 1003971458

M. Chad Larsen, DC's National Provider Identifier is 1003971458, issued on Dec 26, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Leesburg, GA. The record was last updated on Jul 8, 2007.