RENFRED R. HALVERSON DC., P.C.
Chiropractic at Mall Blvd, Brunswick, GA

License number
Georgia GA1742
Category
Chiropractic
Type
Chiropractor
License number
Georgia CHIRO01742
Category
Chiropractic
Type
Chiropractor
Owner
Name: DR. RENFRED R. HALVERSON D.C., P.C.
Title: OWNER/ADMINISTRATOR
Phone: (912) 262-9735
Address
Address
712 Mall Blvd, Brunswick, GA 31525
National Provider ID: 1043324296
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RENFRED R. HALVERSON, D.C., PC

712 Mall Blvd, Brunswick, GA 31525

Registration:
Jan 21, 2005
State ID:
0507218
Business type:
Domestic Professional Corporation
CFOs:
Gidget Mcdonald (Secretary), 712 Mall Blvd, Brunswick, GA 31525 (Physical),Renfred Halverson (CFO), 3366 Cypress Ml Rd, Brunswick, GA 31520 (Physical)
Agent:
Renfred R. Halverson,135 Chinquapin Rd, Riceboro, GA 31323 (Physical)

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