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Organization
FIRST CHOICE CHIROPRACTIC
Active
Organization
FIRST CHOICE CHIROPRACTIC
Active
Other names
Jarred Colegrove
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARRED RYAN COLEGROVE D.C. (DOCTOR)
(770) 535-0550
Entity
Organization
Contact information
Practice address
1335 JUANITA AVE, GAINESVILLE, GA 30501-1725
(770) 535-0550
(770) 535-1007
Mailing address
1335 JUANITA AVE, GAINESVILLE, GA 30501-1725
(770) 535-0550
(770) 535-1007
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007628
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11303748
CAQH
GA
01
—
202I358966
MEDICARE PTAN
GA
Enumeration date
08/04/2015
Last updated
08/04/2015
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