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Terry D. Southerland, D.c.p.c.
Chiropractor in Dacula, Georgia
NPI 1043554272

Terry D. Southerland, D.c.p.c. is a Chiropractor based in Dacula, GA. Terry D. Southerland, D.c.p.c. practices in Dacula, GA. The NPI Number for Terry D. Southerland, D.c.p.c. is 1043554272 and holds a License No. 002477 (Georgia).

The current practice location address for Terry D. Southerland, D.c.p.c. is 3613 Braselton Hwy, Dacula, GA and can be reached out via phone at 678-482-2014 and via fax at 678-482-2997.

Location: 3613 Braselton Hwy, Dacula, GA, 30019-4665
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043554272
Provider Name
Terry D. Southerland, D.c.p.c.
Credential
Provider Entity Type
Organization
Address
3613 Braselton Hwy, Dacula, GA, 30019-4665
Phone Number
678-482-2014
Fax Number
678-482-2997
Provider Enumeration Date
11/10/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
35ZCJKV 01 GA MEDICARE
institution
Provider Business Practice Location Address Details
Address
3613 Braselton Hwy
City
Dacula
State
Georgia
Zip
30019-4665
Phone Number
678-482-2014
Fax Number
678-482-2997
person
Provider Business Mailing Address Details
Address
3613 Braselton Hwy
City
Dacula
State
Georgia
Zip
30019-4665
Phone Number
678-482-2014
Fax Number
678-482-2997
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
002477 (Georgia)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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