# ACTIVE CHIROPRACTIC LLC

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

## Provider details

- **NPI number:** 1720422462
- **Authorized official:** DR. ANDREW GEORGE D.C. (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (937) 689-4601

## Contact information

- **Practice address:** 43 SOLOMONS ISLAND ROAD, SUITE 201, ANNAPOLIS, MD 21401-3852
- **Practice address phone:** (410) 266-3888
- **Mailing address:** 43 SOLOMONS ISLAND ROAD, SUITE 201, ANNAPOLIS, MD 21401-3852
- **Mailing address phone:** (410) 266-3888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | S03744 | MD | Yes |

## Other

- **Enumeration date:** 04/24/2013
- **Last updated:** 04/24/2013
