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Organization
PARK RIDGE HEALTHCARE AND PHYSICAL MEDICINE LLC
Active
Organization
PARK RIDGE HEALTHCARE AND PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK JOSEPH SALLARULO DC (OWNER)
(770) 457-0584
Entity
Organization
Contact information
Practice address
2896 CHAMBLEE TUCKER ROAD, SUITE 4, ATLANTA, GA 30341
(770) 457-0584
(770) 457-0773
Mailing address
2896 CHAMBLEE TUCKER RD STE 2, ATLANTA, GA 30341-4009
(770) 457-0584
(770) 457-0773
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR002472
GA
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/06/2017
Last updated
07/12/2017
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