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Organization

GEORGIA CHIROPRACTIC NEUROLOGY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARC ELLIS D.C. (PRESIDENT)
(404) 259-3365
Entity
Organization

Contact information

Practice address
903 BOMBAY LN, ROSWELL, GA 30076-5829
(770) 664-4288
Mailing address
903 BOMBAY LN, ROSWELL, GA 30076-5829
(770) 664-4288

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CHIRO07215
GA

Other

Enumeration date
12/15/2016
Last updated
12/15/2016
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