# MID-ATLANTIC CLINIC OF CHIROPRACTIC LLC

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

## Provider details

- **NPI number:** 1518030956
- **Authorized official:** AMIR RASHIDIAN D.C. (OWNER)
- **Authorized official phone:** (301) 698-0001

## Contact information

- **Practice address:** 7196 CRESTWOOD BLVD, SUITE 100, FREDERICK, MD 21703-1844
- **Practice address phone:** (301) 698-0001
- **Practice address fax:** (301) 698-0031
- **Mailing address:** 7196 CRESTWOOD BLVD, SUITE 100, FREDERICK, MD 21703-1844
- **Mailing address phone:** (301) 698-0001
- **Mailing address fax:** (301) 698-0031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 02013 | MD | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 12/17/2014
