is a Chiropractor in Marietta, Georgia. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for is 1699984088. The last update date is .
's current location address is 630 Church St Ne, Marietta, Georgia. You can contact this provider via phone number 7704284416 and fax number 7704282693. The mailing address for is 630 Church St Ne, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 630 Church St Ne, Marietta, Georgia |
| Phone Number | 7704284416 |
| Fax Number | 7704282693 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1699984088 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 630 Church St Ne |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300601172 |
| Phone Number | 7704284416 |
| Fax Number | 7704282693 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CHIRO02616 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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