Btlcc Corp

NPI #1306193289 in Lagrange, Georgia

Provider Information

NPI Number: 1306193289
Entity Type: Organization
Organization Name: Btlcc Corp
Subpart: Yes (part of a larger organization)
Parent Organization: BACK TO LIFE CHIROPRACTIC CENTER INC
Primary Specialty: Chiropractor
Enumeration Date: Aug 9, 2012
Last Updated: Dec 11, 2012

Practice Location

Address: 1468 LAFAYETTE PKWY
Address 2: STE 140
City: Lagrange
State: Georgia
ZIP Code: 30241-2605
Phone: (706) 882-5737

Authorized Official

Name: DR. TAMMI LYN TOMPKINS, D.C.
Title: OWNER
Phone: (678) 522-9221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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