Individual
DR. JACK JOSEPH ANTHONIJS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2520 NORTHWINDS PKWY, SUITE 150, ALPHARETTA, GA 30004-2216
(770) 772-3500
(770) 772-3512
Mailing address
2520 NORTHWINDS PKWY, SUITE 150, ALPHARETTA, GA 30004-2216
(770) 772-3500
(770) 772-3512
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO07795
GA
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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