Individual
DR. SYDNEY ROUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1290 KENNESTONE CIR STE D211, MARIETTA, GA 30066-7403
(470) 604-6817
Mailing address
1290 KENNESTONE CIR STE D211, MARIETTA, GA 30066-7403
(470) 604-6817
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010452
GA
Other
Enumeration date
01/11/2021
Last updated
04/26/2021
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