Individual provider · Type 1 NPI
Shane Dehaven, DC
Chiropractor · Brunswick, GA
NPI number
1285054916
Active
Practice location
393 Eh Ct
Brunswick, GA 31520-2197
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR009300 (GA) |
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 1285054916
Shane Dehaven, DC's National Provider Identifier is 1285054916, issued on Apr 21, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Brunswick, GA. The record was last updated on Apr 21, 2014.