Individual provider · Type 1 NPI

Michael Clifford Basille, DC

Chiropractor · College Park, GA

NPI number 1801929930 Active

Practice location

1624 Virginia Ave
College Park, GA 30337-2824

Fax (404) 781-2226

Mailing address

PO Box 941188
Atlanta, GA 31141-0188

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIR006552 (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 1801929930

Michael Clifford Basille, DC's National Provider Identifier is 1801929930, issued on Mar 14, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in College Park, GA. The record was last updated on Jul 8, 2007.