Organization
ENVISION A CHIROPRACTIC HEALING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRAH K SWANBERG-GROSSMAN DC (OWNER/DIRECTOR)
(706) 697-7463
Entity
Organization
Contact information
Practice address
572 MADDOX DR, STE 205, EAST ELLIJAY, GA 30540-4000
(706) 697-7463
Mailing address
572 MADDOX DR, STE 205, EAST ELLIJAY, GA 30540-4000
(706) 697-7463
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
CHIR002792
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHIR002792
STATE LICENSE
GA
Enumeration date
04/12/2013
Last updated
04/12/2013
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