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Organization

FISH FAMILY CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY P FISH DC (OWNER)
(770) 518-7700
Entity
Organization

Contact information

Practice address
455 W. CROSSVILLE ROAD, ROSWELL, GA 30075
(770) 518-7700
(770) 518-1030
Mailing address
455 W. CROSSVILLE ROAD, ROSWELL, GA 30075
(770) 518-7700
(770) 518-1030

Taxonomy

Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
CHIRO02079
GA

Other

Enumeration date
03/22/2007
Last updated
11/06/2007
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