Organization
BRESLOW CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT BRESLOW DC (PRESIDENT)
(770) 813-1811
Entity
Organization
Contact information
Practice address
3500 DULUTH PARK LN, 810, DULUTH, GA 30096-3242
(770) 813-1811
(770) 813-1822
Mailing address
3500 DULUTH PARK LN, 810, DULUTH, GA 30096-3242
(770) 813-1811
(770) 813-1822
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR003006
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35ZCBVG
MEDICARE
GA
Enumeration date
07/10/2013
Last updated
07/10/2013
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