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DR. THOMAS A GREEN D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1861494718

Individual Registrant:
DR. THOMAS A GREEN D.C.
Gender: M
Sole Proprietor

Location and contact information for practice:
321 W CENTRAL AVE  FITZGERALD, GA 31750-2441 US
Tel: 229-423-2196  Fax: --

Contact information for business:
321 W CENTRAL AVE  FITZGERALD, GA 31750-2441 US
Tel: 229-423-2196  Fax: --

Registration Information:
NPI: 1861494718
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
GACHIR004988

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
000564154AGA05




HEALTH CARE JOBS GA - Page 1



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