MEDICARE: HAUGER CHIROPRACTIC LIFE CENTER, P.C

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	0001143	GA

General Provider Information

NPI Number	:	1588708697
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAUGER CHIROPRACTIC LIFE CENTER, P.C

Provider Business Mailing Address
First Line	:	1745 OLD SPRING HOUSE LN
Second Line	:	SUITE 418
City	:	DUNWOODY
State	:	GA
Zip	:	30338-6216
Country	:	US
Telephone Number	:	770-452-0022
Fax Number	:	770-452-7266

Provider Business Practice Location Address
First Line	:	1745 OLD SPRING HOUSE LN
Second Line	:	SUITE 418
City	:	DUNWOODY
State	:	GA
Zip	:	30338-6216
Country	:	US
Telephone Number	:	770-452-0022
Fax Number	:	770-452-7266

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DONALD G HAUGER
Credential	:	D.C.
Telephone Number	:	770-452-0022

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	08/22/2020

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