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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