Great South Management LLC

NPI #1366470114 in Deridder, Louisiana

Provider Information

NPI Number
1366470114
Entity Type
Organization
Organization Name
Great South Management LLC
Primary Specialty
Chiropractor
Enumeration Date
Jun 29, 2006
Last Updated
Dec 11, 2012

Practice Location

Address
1606 N PINE ST
ZIP Code
70634-2420
Phone
(337) 462-3055

Authorized Official

Name
DR. JOHN ROBERT JOHNSON, D.C.
Title
CHIROPRACTOR
Phone
(337) 462-3055

Specialties & Taxonomy Codes

Specialty
Chiropractor

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