Organization
GREATER MCDONOUGH CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ODORISIO DC (OWNER)
(770) 898-3670
Entity
Organization
Contact information
Practice address
1727 HIGHWAY 42 N, MCDONOUGH, GA 30253-4725
(770) 898-3670
Mailing address
1727 HIGHWAY 42 N, MCDONOUGH, GA 30253-4725
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13652366
CAQH ID#
—
Enumeration date
01/30/2019
Last updated
03/13/2019
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