Locust Grove Clinic, P.c.
NPI #1699964171 in Locust Grove, Georgia
Provider Information
- NPI Number
- 1699964171
- Entity Type
- Organization
- Organization Name
- Locust Grove Clinic, P.c.
- Primary Specialty
- Chiropractor
- Enumeration Date
- Oct 19, 2007
- Last Updated
- Oct 19, 2007
Practice Location
- Address
- 2648 HIGHWAY 42
- City
- Locust Grove
- State
- Georgia
- ZIP Code
- 30248-2519
- Phone
- (770) 898-0028
Authorized Official
- Name
- DR. PETER J TULLY, D.C.
- Title
- PRES
- Phone
- (770) 898-0028
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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