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Search › Georgia › 111N00000X

Raven House-Bourne, DC

NPI 1487372074 · on the registry since 2022

Practice

Address
3512 Highway 155 N Ste A2
Mcdonough, GA 30252
Phone
(504) 333-9084
Organisation at this address
100 Chiro Bourne Llc
100 Chiro Anthony 2 Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia