M. Chad Larsen DC PC

NPI #1205954195 in Leesburg, Georgia

Provider Information

NPI Number: 1205954195
Entity Type: Organization
Organization Name: M. Chad Larsen DC PC
Primary Specialty: Chiropractor
Enumeration Date: Mar 27, 2007
Last Updated: Jun 25, 2008

Practice Location

Address: 1477 US HIGHWAY 19 S
City: Leesburg
State: Georgia
ZIP Code: 31763-4868
Phone: (229) 436-1191

Authorized Official

Name: DR. M. CHAD LARSEN, D.C.
Title: OWNER
Phone: (229) 436-1191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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