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Shannon D Smith D. C P.c
Chiropractor in Homerville, Georgia
NPI 1659599645

Shannon D Smith D. C P.c is a Chiropractor based in Homerville, GA. Shannon D Smith D. C P.c practices in Homerville, GA. The NPI Number for Shannon D Smith D. C P.c is 1659599645 and holds a License No. 5479 (Georgia).

The current practice location address for Shannon D Smith D. C P.c is 235 N Church St, Homerville, GA and can be reached out via phone at 912-487-2288 and via fax at 912-487-2083.

Location: 235 N Church St, Homerville, GA, 31634-2451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659599645
Provider Name
Shannon D Smith D. C P.c
Credential
Provider Entity Type
Organization
Address
235 N Church St, Homerville, GA, 31634-2451
Phone Number
912-487-2288
Fax Number
912-487-2083
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
511G700683 01 GA MEDICARE GROUP PTAN
35ZCDDD 01 PTAN
institution
Provider Business Practice Location Address Details
Address
235 N Church St
City
Homerville
State
Georgia
Zip
31634-2451
Phone Number
912-487-2288
Fax Number
912-487-2083
person
Provider Business Mailing Address Details
Address
235 N Church St
City
Homerville
State
Georgia
Zip
31634-2451
Phone Number
912-487-2288
Fax Number
912-487-2083
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
5479 (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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