Great South Management Llc in Deridder - Chiropractor
Great South Management Llc - NPI 1366470114
Great South Management Llc is a Chiropractor in Deridder, Louisiana. Great South Management Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Great South Management Llc is 1366470114. The last update date is 2012-12-11.
Great South Management Llc's current location address is 1606 N Pine St, Deridder, Louisiana. You can contact this provider via phone number 3374623055 and fax number 3374620741. The mailing address for Great South Management Llc is 1606 N Pine St, Deridder, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great South Management Llc |
|---|---|
| Address | 1606 N Pine St, Deridder, Louisiana |
| Phone Number | 3374623055 |
| Fax Number | 3374620741 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIROPRACT |
|---|---|
| Authorized Official Name | Johnson Robert John |
| Credentials | D.C. |
| Telephone Number | 3374623055 |
NPI Number Detail
| NPI Number | 1366470114 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2012-12-11 |
Provider Mailing Address Detail
| Address | 1606 N Pine St |
|---|---|
| City | Deridder |
| State | Louisiana (LA) |
| Post Code | 706342420 |
| Phone Number | 3374623055 |
| Fax Number | 3374620741 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1168 |
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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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What is the unique 10-digit identifier code issued to Great South Management Llc by the Centers for Medicare & Medicaid Services?
The Great South Management Llc has been assigned the NPI (National Provider Identifier) 1366470114 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Great South Management Llc?
The Great South Management Llc is situated at 1606 N Pine St, in the city of Deridder, state of LA, with the zip code 706342420.
What is Great South Management Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Great South Management Llc is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
When did the Great South Management Llc receive its 1366470114?
The Great South Management Llc was issued its 1366470114 on 2006-06-29, which is the date when the organization was assigned this unique identifier.
When was the Great South Management Llc's information last updated?
The Great South Management Llc's information was last updated on 2012-12-11.