Doctor Name: | DR. PHILIP M. LAWRENCE |
NPI Number: | 1275719775 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 001552 |
Business Practice Address: | 334 N Broad St Toccoa, GA - 305772304 |
Business Phone Number: | 7068868800 |
Business Fax Number: | 7068868800 |
Mailing Address: | 334 N Broad St, TOCCOA |
State: | GA |
Postal Code: | 305772304 |
Phone Number: | 7068868800 |
Fax Number: | 7068868800 |
NPI Enumeration Date: | 01/14/2008 |
NPI Last Update Date: | 01/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111NT0100X |
License Number: | 001552 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | Thermography |
Taxonomy Definition: |