| Btlcc Corp | |
|
1468 Lafayette Pkwy, Ste 140, Lagrange, GA 30241-2605 | |
| (706) 882-5737 | |
| Not Available |
| Full Name | Btlcc Corp |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1468 Lafayette Pkwy, Lagrange, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306193289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIR008331 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Btlcc Corp 12 Stonemill Ct, Newnan, GA 30265-1792 Ph: (678) 522-9221 | Btlcc Corp 1468 Lafayette Pkwy, Ste 140, Lagrange, GA 30241-2605 Ph: (706) 882-5737 |
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