Organization
MCINTYRE FAMILY CHIROPRACTIC AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN C. MCINTYRE D.C. (OWNER)
(770) 952-9664
Entity
Organization
Contact information
Practice address
1275 POWERS FERRY RD, SUITE 300, MARIETTA, GA 30067-9486
(770) 952-9664
(770) 952-2962
Mailing address
1275 POWERS FERRY RD, SUITE 300, MARIETTA, GA 30067-9486
(770) 952-9664
(770) 952-2962
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006153
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP4899
MEDICARE GROUP NUMBER
—
Enumeration date
07/25/2007
Last updated
07/25/2007
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