PERFORMANCE CHIROPRACTIC & WELLNESS
Ambulatory Health at Park Dr, Reynolds Plantation, GA

License number
Georgia CHIR007549
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. JEROME JOSEPH RERUCHA DC
Title: OWNER
Phone: (706) 999-9868
Address
Address
1041 Park Dr, Reynolds Plantation, GA 30642
National Provider ID: 1255648473
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PERFORMANCE CHIROPRACTIC & WELLNESS LLC

White Plains, GA  -  Eatonton, GA  -  Reynolds Plantation, GA

Industry:
Health/Allied Services
Registration:
Sep 18, 2009
Addresses:
2051 Clearwater Dr, White Plains, GA 30678 (Physical)
106 Vlg Ln, Eatonton, GA 31024
4381 Lk Oconee Pkwy, Reynolds Plantation, GA 30642
State ID:
09065748
Business type:
Domestic Limited Liability Company
Owner, President, Principal:
Jerome Rerucha (Owner, President, Principal)
Agent:
Jerome Joseph Rerucha,2051 Clearwater Dr, White Plains, GA (Physical)

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