Dclc Two Pc in Dahlonega - Chiropractor

Dclc Two Pc - NPI 1629264072

Dclc Two Pc is a Chiropractor in Dahlonega, Georgia. Dclc Two Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Dclc Two Pc is 1629264072. The last update date is 2008-03-19.

Dclc Two Pc's current location address is Po Box 599, Dahlonega, Georgia. You can contact this provider via phone number 7068645362 and fax number 7068645761. The mailing address for Dclc Two Pc is Po Box 599, Dahlonega, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dclc Two Pc
Address Po Box 599, Dahlonega, Georgia
Phone Number 7068645362
Fax Number 7068645761
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PROVIDER
Authorized Official Name Fedorchuk Curtis
Telephone Number 7068645362

NPI Number Detail

NPI Number 1629264072
Provider Enumeration Date 2007-09-19
Last Updated Date 2008-03-19

Provider Mailing Address Detail

Address Po Box 599
City Dahlonega
State Georgia (GA)
Post Code 305330010
Phone Number 7068645362
Fax Number 7068645761

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 7276
Definition:
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 inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
389233 GA BCBS
DF0709 GA MEDICARE RAILROAD
GRP6904 GA MEDICARE

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FAQs about Dclc Two Pc

What is the unique 10-digit identification code issued to Dclc Two Pc by the Centers for Medicare & Medicaid Services?

The Dclc Two Pc has been assigned the NPI (National Provider Identifier) 1629264072 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Dclc Two Pc's facilities are geographically located?

The facilities of Dclc Two Pc are physically situated at the following location: Po Box 599, Dahlonega, GA, 305330010.

What is Dclc Two Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Dclc Two Pc's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1629264072 to Dclc Two Pc?

The Centers for Medicare & Medicaid Services originally issued the 1629264072 to Dclc Two Pc on 2007-09-19.

As of what date was the information pertaining to Dclc Two Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Dclc Two Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-03-19.

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