100 Chiro Branch LLC

NPI #1902590854 in Pooler, Georgia

Provider Information

NPI Number: 1902590854
Entity Type: Organization
Organization Name: 100 Chiro Branch LLC
Primary Specialty: Chiropractor
Enumeration Date: Jun 5, 2023
Last Updated: Jun 5, 2023

Practice Location

Address: 100 BLUE MOON XING STE 103
City: Pooler
State: Georgia
ZIP Code: 31322-9809
Phone: (470) 957-1744

Authorized Official

Name: TIANA BRANCH
Title: OWNER/PROVIDER
Phone: (470) 957-1744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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