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DR. HERBERT F. CONGRAM D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1619087830

Individual Registrant:
DR. HERBERT F. CONGRAM D.C.
Gender: M
Sole Proprietor

Location and contact information for practice:
219 HAILE BOOKER RD  FITZGERALD, GA 31750-8725 US
Tel: 229-423-0550  Fax: 229-424-0923

Contact information for business:
219 HAILE BOOKER RD  FITZGERALD, GA 31750-8725 US
Tel: 229-423-0550  Fax: 229-424-0923

Registration Information:
NPI: 1619087830
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
GACHIR008315

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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