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DR. PETER JOHN BAUTH DC, LCP

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1508188210

Individual Registrant:
DR. PETER JOHN BAUTH DC, LCP
Gender: M
Not Sole Proprietor

Location and contact information for practice:
510 SWANSON RD  TYRONE, GA 30290-6900 US
Tel: 770-964-5230  Fax: 770-964-5260

Contact information for business:
510 SWANSON RD  TYRONE, GA 30290-6900 US
Tel: 770-964-5230  Fax: 770-964-5260

Registration Information:
NPI: 1508188210
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
GACHIR007853

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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