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Organization
LAKESIDE CHIROPRACTIC WELLNESS CENTER, LLC
Active
Organization
LAKESIDE CHIROPRACTIC WELLNESS CENTER, LLC
Active
Other names
Lakeside Chiropractic Wellness Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE ENOCH CALLAWAY D.C. (CHIROPRACTOR/OWNER)
(678) 401-8207
Entity
Organization
Contact information
Practice address
3750 PALLADIAN VILLAGE DR, SUITE 330, MARIETTA, GA 30066-8200
(678) 401-8207
(866) 248-6750
Mailing address
1208 KILLARNEY SE, SMYRNA, GA 30080-8515
(678) 644-1990
(866) 248-6750
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008802
GA
Other
Enumeration date
01/24/2012
Last updated
04/27/2012
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