person
Ivan Jay Brodwyn, DC
Chiropractor in Columbus, Georgia
NPI 1538193503

Ivan Jay Brodwyn is a Chiropractor based in Columbus, GA. Ivan Jay Brodwyn practices in Columbus, GA and has the professional credentials of DC. The NPI Number for Ivan Jay Brodwyn is 1538193503 and holds a License No. DC1811 (Georgia).

The current practice location address for Ivan Jay Brodwyn is 3624 Edgewood Rd, Columbus, GA and can be reached out via phone at 706-563-3370 and via fax at 706-563-3501.

Location: 3624 Edgewood Rd, Columbus, GA, 31907-2184
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Provider Profile Details
NPI Number
1538193503
Provider Name
Ivan Jay Brodwyn
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
3624 Edgewood Rd, Columbus, GA, 31907-2184
Phone Number
706-563-3370
Fax Number
706-563-3501
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7365 01 GA GRP NUMBER
institution
Provider Business Practice Location Address Details
Address
3624 Edgewood Rd
City
State
Zip
31907-2184
Phone Number
706-563-3370
Fax Number
706-563-3501
person
Provider Business Mailing Address Details
Address
3624 Edgewood Rd
City
State
Zip
31907-2184
Phone Number
706-563-3370
Fax Number
706-563-3501
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
DC1811 (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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