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NPI Code Detail

MEDICARE: COURTNEY CHIROPRACTIC CENTER

MEDICARE: COURTNEY CHIROPRACTIC CENTER
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1144685629
Entity Type Code : Organization
Provider Name (Legal Business Name) : COURTNEY CHIROPRACTIC CENTER
Provider Business Mailing Address
First Line : 4634 GLISSADE DR
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34652-5319
Country : US
Telephone Number : 727-848-5385
Fax Number : 727-845-4232
Provider Business Practice Location Address
First Line : 4634 GLISSADE DR
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34652-5319
Country : US
Telephone Number : 727-848-5385
Fax Number : 727-845-4232
Authorized Official
Title or Position : OWNER
Name : DR. GEORGE WILLIAM COURTNEY III
Credential : D.C.
Telephone Number : 727-848-5385
Provider Enumeration Date : 12/28/2015
Last Update Date : 12/28/2015

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Directions to “COURTNEY CHIROPRACTIC CENTER ” Practice Location

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