Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Locust Grove Clinic, PC

Organization Chiropractor · NPI 1699964171

Locust Grove Clinic, PC is a Chiropractor in Locust Grove, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2648 Highway 42
Locust Grove, GA 30248-2519
Phone: (770) 898-0028
Fax: (770) 898-7987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHIROO6323 (GA)

Record details

NPI number1699964171
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Tully — Pres · (770) 898-0028
NPI enumeratedOctober 19, 2007
Last updated in NPPESOctober 19, 2007
Mailing address2648 Highway 42, Locust Grove, GA 30248-2519

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