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NPI Code Detail

MEDICARE: MOSLEY CHIROPRACTIC LLC

MEDICARE: MOSLEY CHIROPRACTIC LLC
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
1261QH0100XHealth Service Clinic/CenterCHIR008246GA

General Provider Information

NPI Number : 1699924829
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOSLEY CHIROPRACTIC LLC
Provider Business Mailing Address
First Line : 2020 7TH AVE
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-8914
Country : US
Telephone Number : 706-323-1873
Fax Number : 706-321-0436
Provider Business Practice Location Address
First Line : 2020 7TH AVE
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-8914
Country : US
Telephone Number : 706-323-1873
Fax Number : 706-321-0436
Authorized Official
Title or Position : AUTHORIZED REPRESENTATIVE
Name : DR. SHERRI LYNETTE MOSLEY
Credential : DC
Telephone Number : 706-323-1873
Provider Enumeration Date : 09/11/2008
Last Update Date : 09/11/2008

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Directions to “MOSLEY CHIROPRACTIC LLC ” Practice Location

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