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Organization
INJURY AND REHAB CENTERS OF GEORGIA 2, LLC
Active
Organization
INJURY AND REHAB CENTERS OF GEORGIA 2, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA LEYVA-IZAGUIRRE (OWNER)
(770) 466-3344
Entity
Organization
Contact information
Practice address
120 CAMP ST STE A, LOGANVILLE, GA 30052-3284
(770) 466-3344
Mailing address
120 CAMP ST STE A, LOGANVILLE, GA 30052-3284
(770) 466-3344
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR005705
GA
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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