James Georgia, DC Valid NPI
Individual provider · Chiropractor · O Fallon, MO
- NPI
- 1891724423
- Type
- Individual (Type 1)
- Primary specialty
- Chiropractor
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111N00000X
- License number
- 006751 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-07-03
- Last updated
- 2020-07-14
Practice location
2315 Highway K
O Fallon, MO 63368-8659
(636) 978-6995