Individual provider · Type 1 NPI

Peter John Bauth, DC, LCP

Chiropractor · Tyrone, GA

NPI number 1508188210 Active

Practice location

510 Swanson Rd
Tyrone, GA 30290-6900

Fax (770) 964-5260

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIR007853 (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 1508188210

Peter John Bauth, DC, LCP's National Provider Identifier is 1508188210, issued on Feb 22, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Tyrone, GA. The record was last updated on Feb 22, 2010.