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NPI 1386362978

OrganizationActive

100 Chiro Bourne LLC

NPI 1386362978 · Chiropractor · Mcdonough, GA

Provider details

NPI number: 1386362978
Entity type: Organization
Primary specialty: ChiropractorChiropractic Providers
Authorized official: Raven House-Bourne, Doctor/Owner

Practice location

3512 Highway 155 N Ste A2

Mcdonough, GA 30252-5506

Phone: (504) 333-9084

More GA providers

Mailing address

403 Darter Dr Nw

Kennesaw, GA 30144-5083

Registry dates

Enumerated: 2022-08-18
Last updated: 2023-07-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

100 Chiro Bourne LLC — NPI 1386362978, Mcdonough, GA | NPI Central