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Organization
VILLAGE HEALTH GEORGIA, P.C.
Active
Organization
VILLAGE HEALTH GEORGIA, P.C.
Active
Other names
Village Health
Organization subpart
No
Provider details
NPI number
Authorized official
LISA RENEE MCKENTLY DC (PRESIDENT)
(770) 444-9191
Entity
Organization
Contact information
Practice address
4425 S COBB DR SE, SUITE G, SMYRNA, GA 30080-6368
(770) 444-9191
(770) 444-9391
Mailing address
4425 S COBB DR SE, SUITE G, SMYRNA, GA 30080-6368
(770) 444-9191
(770) 444-9391
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
GA
Other
Enumeration date
07/17/2006
Last updated
08/22/2020
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