Back to Life Chiropractic, LLC

NPI #1700312733 in Commerce, Georgia

Provider Information

NPI Number: 1700312733
Entity Type: Organization
Organization Name: Back to Life Chiropractic, LLC
Primary Specialty: Chiropractor
Enumeration Date: May 11, 2017
Last Updated: Dec 19, 2019

Practice Location

Address: 37 STATE ST
City: Commerce
State: Georgia
ZIP Code: 30529-1920
Phone: (706) 944-3472

Authorized Official

Name: DONN MITCHELL BLENCOWE, D.C.
Title: OWNER/SOLE PROPRIETOR
Phone: (770) 833-2860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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