Life Style Enhancement Centers

NPI #1275844227 in Lagrange, Georgia

Provider Information

NPI Number: 1275844227
Entity Type: Organization
Organization Name: Life Style Enhancement Centers
Primary Specialty: Chiropractor
Enumeration Date: Jun 24, 2010
Last Updated: Jul 7, 2010

Practice Location

Address: 3206 W POINT RD
City: Lagrange
State: Georgia
ZIP Code: 30240-7545
Phone: (706) 837-0405

Authorized Official

Name: DR. STEVEN T WILDER, D.C.
Title: OWNER
Phone: (706) 837-0405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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