Central Chiropractic Clinic

NPI #1790883783 in Bastrop, Louisiana

Provider Information

NPI Number: 1790883783
Entity Type: Organization
Organization Name: Central Chiropractic Clinic
Primary Specialty: Chiropractor
Enumeration Date: Sep 21, 2006
Last Updated: Nov 8, 2007

Practice Location

Address: 608 N MARABLE ST
City: Bastrop
State: Louisiana
ZIP Code: 71220-3032
Phone: (318) 281-0550

Authorized Official

Name: RANDLE BLAKE HAWTHORNE, DC
Title: OWNER
Phone: (318) 281-0550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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