Dahlonega Chiropractic Clinic LLC
Organization Active NPI Chiropractor · Dahlonega, GA
NPI 1235398652 · NPPES record last updated Jun 2, 2008
Key facts
- NPI
- 1235398652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIRO08234 (GA)
- Legal business name
- DAHLONEGA CHIROPRACTIC CLINIC LLC
- Practice address
- 89 Long Branch Rd
A6
Dahlonega, GA 30533-9305 - Phone
- (706) 867-0974
- Fax
- (706) 867-0978
- NPI assigned
- Jun 2, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Keith Lee Tyre, D.C.
- Title
- Chiropractor
- Phone
- (706) 867-0974
Practitioners 3
-
Sherry L Baer, DC
-
Ramon Forrest Watts, D.C.
-
Keith Lee Tyre, D.C.
National Provider Directory
Locations
89 Long Branch Rd
Ste A6
Dahlonega, GA 30533
Phone (706) 429-3327
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | CHIRO08234 | GA | Yes |
Addresses
Primary practice location
89 Long Branch Rd
A6
Dahlonega, GA 30533-9305
Mailing address
89 Long Branch Rd
A6
Dahlonega, GA 30533-9305
Other providers in Dahlonega, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.