MEDICARE: LOKEY CHIROPRACTIC CLINIC PC

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
1	261Q00000X	Clinic/Center	CHIR002819	GA

General Provider Information

NPI Number	:	1801150479
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOKEY CHIROPRACTIC CLINIC PC

Provider Business Mailing Address
First Line	:	3048 NAPIER AVE
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31204-3841
Country	:	US
Telephone Number	:	478-746-3116
Fax Number	:	478-746-2136

Provider Business Practice Location Address
First Line	:	3048 NAPIER AVE
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31204-3841
Country	:	US
Telephone Number	:	478-746-3116
Fax Number	:	478-746-2136

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	ROBERT LOKEY
Credential	:	D.C.
Telephone Number	:	478-746-3116

Provider Enumeration Date	:	06/28/2012
Last Update Date	:	06/28/2012

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