MEDICARE: THE HEALING CENTER, 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
1	111N00000X	Chiropractor	6557	GA

General Provider Information

NPI Number	:	1306268370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HEALING CENTER, LLC

Provider Business Mailing Address
First Line	:	1716 CLEVELAND HWY
Second Line	:	SUITE 700
City	:	DALTON
State	:	GA
Zip	:	30721-2314
Country	:	US
Telephone Number	:	706-529-9355
Fax Number	:	706-529-7735

Provider Business Practice Location Address
First Line	:	1716 CLEVELAND HWY
Second Line	:	SUITE 700
City	:	DALTON
State	:	GA
Zip	:	30721-2314
Country	:	US
Telephone Number	:	706-529-9355
Fax Number	:	706-529-7735

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	CRAIG MARLOW
Credential	:	D.C.
Telephone Number	:	706-529-9355

Provider Enumeration Date	:	01/10/2014
Last Update Date	:	01/10/2014

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Directions to “THE HEALING CENTER, LLC ” Practice Location

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