Locust Grove Clinic, P.C. in Locust Grove - Chiropractor
Locust Grove Clinic, P.C. - NPI 1699964171
Locust Grove Clinic, P.C. is a Chiropractor in Locust Grove, Georgia. Locust Grove Clinic, P.C. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Locust Grove Clinic, P.C. is 1699964171. The last update date is 2007-10-19.
Locust Grove Clinic, P.C.'s current location address is 2648 Highway 42, Locust Grove, Georgia. You can contact this provider via phone number 7708980028 and fax number 7708987987. The mailing address for Locust Grove Clinic, P.C. is 2648 Highway 42, Locust Grove, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Locust Grove Clinic, P.C. |
|---|---|
| Address | 2648 Highway 42, Locust Grove, Georgia |
| Phone Number | 7708980028 |
| Fax Number | 7708987987 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRES |
|---|---|
| Authorized Official Name | Tully J Peter |
| Credentials | D.C. |
| Telephone Number | 7708980028 |
NPI Number Detail
| NPI Number | 1699964171 |
|---|---|
| Provider Enumeration Date | 2007-10-19 |
| Last Updated Date | 2007-10-19 |
Provider Mailing Address Detail
| Address | 2648 Highway 42 |
|---|---|
| City | Locust Grove |
| State | Georgia (GA) |
| Post Code | 302482519 |
| Phone Number | 7708980028 |
| Fax Number | 7708987987 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CHIROO6323 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GRP4337 | GA | MEDICARE GROUP |
Post Comment/ Review Below
What is the unique provider identifier assigned to Locust Grove Clinic, P.C.?
The Locust Grove Clinic, P.C. has been issued the NPI (National Provider Identifier) 1699964171 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Locust Grove Clinic, P.C. is located?
The Locust Grove Clinic, P.C. is situated at the following address: 2648 Highway 42, Locust Grove, GA, 302482519.
What is Locust Grove Clinic, P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Locust Grove Clinic, P.C.'s specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date was the 1699964171 assigned to Locust Grove Clinic, P.C.?
The Locust Grove Clinic, P.C. was issued its 1699964171 on 2007-10-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Locust Grove Clinic, P.C. most recently updated or revised?
The details related to Locust Grove Clinic, P.C., including its address, specialty, and other relevant information, were last updated or revised on 2007-10-19.