Organization · Type 2 NPI
Southeast Chiropractic Clinic LLC
Chiropractor · Vidalia, GA
NPI number
1467796581
Active
Practice location
308 Jackson St
Vidalia, GA 30474-4708
Mailing address
107 Reserve Cir
St. Marys, GA 31558-4278
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR008450 (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.
Other chiropractor providers in Vidalia
About NPI 1467796581
Southeast Chiropractic Clinic LLC's National Provider Identifier is 1467796581, issued on Nov 15, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Vidalia, GA. The record was last updated on Nov 15, 2012.