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NPI Code Detail

MEDICARE: SPRINGFIELD CHIROPRACTIC LLC

MEDICARE: SPRINGFIELD 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
1111N00000XChiropractor

General Provider Information

NPI Number : 1376140616
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPRINGFIELD CHIROPRACTIC LLC
Provider Business Mailing Address
First Line : 505 N LAUREL ST
Second Line :
City : SPRINGFIELD
State : GA
Zip : 31329-6815
Country : US
Telephone Number : 912-754-3218
Fax Number : 912-754-3223
Provider Business Practice Location Address
First Line : 505 N LAUREL ST
Second Line :
City : SPRINGFIELD
State : GA
Zip : 31329-6815
Country : US
Telephone Number : 912-754-3218
Fax Number : 912-754-3223
Authorized Official
Title or Position : OWNER
Name : DR. TERRI LYNN NORBURG
Credential : DC
Telephone Number : 912-765-3218
Provider Enumeration Date : 10/08/2020
Last Update Date : 10/08/2020

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Directions to “SPRINGFIELD CHIROPRACTIC LLC ” Practice Location

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