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Organization
BACK TO LIFE
Active
Organization
BACK TO LIFE
Active
Other names
promonencechiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC ANTHONY CAVACIUTI D.C. (OWER)
(770) 345-4520
Entity
Organization
Contact information
Practice address
110 PROMINENCE POINT PKWY STE 122, CANTON, GA 30114-9076
(770) 345-4520
(770) 345-4524
Mailing address
110 PROMINENCE POINT PKWY STE 122, CANTON, GA 30114-9076
(770) 345-4520
(770) 345-4524
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
CHIR007378
GA
Other
Enumeration date
04/18/2007
Last updated
12/04/2007
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