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DR. EUGENE FRANCIS BERBENICK D.C.
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1730270869
Individual Registrant:DR. EUGENE FRANCIS BERBENICK D.C.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
327 E JACKSON ST STE B THOMASVILLE, GA 31792-5175 US
Tel: 229-227-0026 Fax: 229-227-1523
Tel: 229-227-0026 Fax: 229-227-1523
Contact information for business:
5427 PACES MILL RD TALLAHASSEE, FL 32309-6853 US
Tel: 229-221-5639 Fax: --
Tel: 229-221-5639 Fax: --
Registration Information:
NPI: 1730270869
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | GA | 2793 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 000845919A | GA | 05 |
