Terry D. Southerland, D.c.p.c.

NPI #1043554272 in Dacula, Georgia

Provider Information

NPI Number: 1043554272
Entity Type: Organization
Organization Name: Terry D. Southerland, D.c.p.c.
Primary Specialty: Chiropractor
Enumeration Date: Nov 10, 2012
Last Updated: Nov 10, 2012

Practice Location

Address: 3613 BRASELTON HWY
Address 2: SUITE 101
City: Dacula
State: Georgia
ZIP Code: 30019-4665
Phone: (678) 482-2014

Authorized Official

Name: DR. TERRY D. SOUTHERLAND, D.C.
Title: OWNER/PRESIDENT
Phone: (678) 482-2014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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