MEDICARE: WILLIAM LOVEJOY D.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	CHIR009673	GA

General Provider Information

NPI Number	:	1952750366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM LOVEJOY D.C.

Provider Business Mailing Address
First Line	:	1800 HOG MOUNTAIN RD
Second Line	:	BLDG 1000 STE 103
City	:	WATKINSVILLE
State	:	GA
Zip	:	30677-1935
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 HOG MOUNTAIN RD
Second Line	:	BLDG 1000 STE 103
City	:	WATKINSVILLE
State	:	GA
Zip	:	30677-1935
Country	:	US
Telephone Number	:	706-363-0123
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2016
Last Update Date	:	06/07/2016

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Directions to “ WILLIAM LOVEJOY D.C.” Practice Location

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