Individual provider · Type 1 NPI

Dusty Large, DC

Chiropractor · Macon, GA

NPI number 1396016648 Active

Practice location

4931 Riverside Dr Ste 300A
Macon, GA 31210-1168

Call (478) 257-6114 Map

Fax (478) 238-5415

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIR008931 (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 1396016648

Dusty Large, DC's National Provider Identifier is 1396016648, issued on Jan 18, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Macon, GA. The record was last updated on Dec 4, 2023.