Organization
MERCY LASER THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID NGUYEN (OWNER)
(678) 878-3149
Entity
Organization
Contact information
Practice address
3775 VENTURE DR STE 102, DULUTH, GA 30096-5102
(678) 878-3149
Mailing address
3775 VENTURE DR STE 102, DULUTH, GA 30096-5102
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111N00000X
TAXONOMY
—
Enumeration date
11/08/2022
Last updated
11/08/2022
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