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

Locust Grove Clinic, PC

Organization Chiropractor · NPI 1699964171

Locust Grove Clinic, PC provides Chiropractor services 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 Not confirmed with CMS for 18 years — call before visiting
Phone: (770) 898-0028
Fax: (770) 898-7987
Show map & directions

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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