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Melanie D Godfrey Dc Llc
Chiropractor in Bastrop, Louisiana
NPI 1114042249

Melanie D Godfrey Dc Llc is a Chiropractor based in Bastrop, LA. Melanie D Godfrey Dc Llc practices in Bastrop, LA. The NPI Number for Melanie D Godfrey Dc Llc is 1114042249 and holds a License No. 1396 (Louisiana).

The current practice location address for Melanie D Godfrey Dc Llc is 634 East Jefferson Ave, Bastrop, LA and can be reached out via phone at 318-281-3911 and via fax at 318-281-3690.

Location: 634 East Jefferson Ave, Bastrop, LA, 71220-4619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114042249
Provider Name
Melanie D Godfrey Dc Llc
Credential
Provider Entity Type
Organization
Address
634 East Jefferson Ave, Bastrop, LA, 71220-4619
Phone Number
318-281-3911
Fax Number
318-281-3690
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4396585240 01 LA BLUE CROSS
1712485 05 LA
83816 01 AR BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
634 East Jefferson Ave
City
Bastrop
State
Louisiana
Zip
71220-4619
Phone Number
318-281-3911
Fax Number
318-281-3690
person
Provider Business Mailing Address Details
Address
634 East Jefferson Ave
City
Bastrop
State
Louisiana
Zip
71220-4619
Phone Number
318-281-3911
Fax Number
318-281-3690
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1396 (Louisiana)
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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