NPI age
19 years
Enumerated 2006-10-23
Across 4970 active chiropractor providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 581414295 | TAX IDENTIFICATION |
| 05 (GA) | 00218105A |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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