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Organization
DIVINE REALIGN CHIROPRACTIC
Active
Organization
DIVINE REALIGN CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINA MAHAFFEY DC (CHIROPRACTOR)
(864) 631-5952
Entity
Organization
Contact information
Practice address
3655 CANTON RD STE 101, MARIETTA, GA 30066-2686
(678) 273-2116
Mailing address
3655 CANTON RD STE 101, MARIETTA, GA 30066-2686
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009465
GA
Other
Enumeration date
05/13/2015
Last updated
08/11/2015
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