Organization
LEGACY CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MICHELLE HARRIS (OWNER)
(770) 376-5784
Entity
Organization
Contact information
Practice address
4073 LAVISTA RD STE 371, TUCKER, GA 30084-5221
(770) 376-5784
(770) 376-5789
Mailing address
4073 LAVISTA RD STE 371, TUCKER, GA 30084-5221
(770) 376-5784
(770) 376-5789
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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