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Organization
DR. MICHELLE OZ LLC D/B/A MOMENTUM CHIROPRACTIC
Active
Organization
DR. MICHELLE OZ LLC D/B/A MOMENTUM CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE LYNN OZ DC (DOCTOR OF CHIROPRACTIC)
(470) 308-3754
Entity
Organization
Contact information
Practice address
3900 LEGACY PARK BLVD NW, KENNESAW, GA 30144-7412
(470) 308-3754
Mailing address
3900 LEGACY PARK BLVD NW, KENNESAW, GA 30144-7412
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009753
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528515525
NPI
GA
01
—
CHIR009753
LICENSE
GA
Enumeration date
12/18/2017
Last updated
06/11/2019
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