NPI 1144481458

New Hope Chiropractic Clinic, LLC

Organisation Preferred Provider Organization Fayetteville, GA

Practice location

Address: 740 Glynn St N STE E, Fayetteville, GA 30214-6707
Phone: (770) 719-2221
Fax: (770) 719-2210

Authorised official

Name: Henry Q Phung
Title: Owner
Phone: (770) 719-2221

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence CHIR008288 (GA)

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Registry record

NPI: 1144481458
Entity type: Organization
NPI issued: 19 Jun 2008
Record last updated: 19 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.