# BRANNAN CHIROPRACTIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477714186
- **Authorized official:** DR. DAVID T BRANNAN D.C. (OWNER)
- **Authorized official phone:** (770) 517-5610

## Contact information

- **Practice address:** 104 MIRRAMONT LAKE DR., WOODSTOCK, GA 30189-3018
- **Practice address phone:** (770) 517-5610
- **Practice address fax:** (770) 517-5611
- **Mailing address:** PO BOX 2563, ACWORTH, GA 30107
- **Mailing address phone:** (770) 517-5610
- **Mailing address fax:** (770) 517-5611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CHIR008344 | GA | Yes |

## Other

- **Enumeration date:** 06/24/2008
- **Last updated:** 03/17/2018