Individual
DR. JEFFERY PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., A.T.C
Contact information
Practice address
1155 ALLGOOD RD STE 8, MARIETTA, GA 30062-2243
(678) 369-3757
Mailing address
1155 ALLGOOD RD STE 8, MARIETTA, GA 30062-2243
(678) 369-3757
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008613
GA
2255A2300X
Athletic Trainer
AT001213
GA
Other
Enumeration date
01/28/2010
Last updated
01/21/2021
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