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NPI Code Detail

MEDICARE: FAMILY CHIROPRACTIC CARE INC.

MEDICARE: FAMILY CHIROPRACTIC CARE INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCHIR008384GA

General Provider Information

NPI Number : 1134429913
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY CHIROPRACTIC CARE INC.
Provider Business Mailing Address
First Line : 3405 CYPRESS MILL RD
Second Line :
City : BRUNSWICK
State : GA
Zip : 31520-2857
Country : US
Telephone Number : 912-265-0311
Fax Number : 912-265-0388
Provider Business Practice Location Address
First Line : 3405 CYPRESS MILL RD
Second Line :
City : BRUNSWICK
State : GA
Zip : 31520-2857
Country : US
Telephone Number : 912-265-0311
Fax Number : 912-265-0388
Authorized Official
Title or Position : OWNER
Name : DR. HARRY CHARLES BROYLES
Credential : D.C.
Telephone Number : 912-265-0311
Provider Enumeration Date : 10/27/2010
Last Update Date : 10/27/2010

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Directions to “FAMILY CHIROPRACTIC CARE INC. ” Practice Location

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