# CHIROPRACTIC CLINIC OF SNELLVILLE, INC.

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

## Provider details

- **NPI number:** 1952678138
- **Authorized official:** DR. STEPHEN WILLIAM SIERADZKI D.C. (OWNER)
- **Authorized official phone:** (770) 982-5155

## Contact information

- **Practice address:** 2331 HENRY CLOWER BLVD STE C, SNELLVILLE, GA 30078-3158
- **Practice address phone:** (770) 982-5155
- **Practice address fax:** (770) 982-4262
- **Mailing address:** 2331 HENRY CLOWER BLVD STE C, SNELLVILLE, GA 30078-3158
- **Mailing address phone:** (770) 982-5155
- **Mailing address fax:** (770) 982-4262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CHIR002081 | GA | Yes |

## Other

- **Enumeration date:** 11/16/2011
- **Last updated:** 11/16/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 35ZCHFF | MEDICARE ID | GA |