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Organization

RADIN CHIROPRACTIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID A RADIN D.C (OWNER / CHIROPRACTOR)
(770) 926-1669
Entity
Organization

Contact information

Practice address
2300 SHALLOWFORD RD, SUITE 8, MARIETTA, GA 30066-2075
(770) 926-1669
(770) 926-2155
Mailing address
2300 SHALLOWFORD RD, SUITE 8, MARIETTA, GA 30066-2075
(770) 926-1669
(770) 926-2155

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007569
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1033285440
TYPE 1 NPI / NATIONAL PLAN & PROVIDER ENUMERATION SYSTEM
GA
Enumeration date
10/17/2012
Last updated
10/17/2012
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