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Individual

ESTHER WIDJAJA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6050 PEACHTREE PKWY STE 420, PEACHTREE CORNERS, GA 30092-3362
(770) 744-5810
Mailing address
6050 PEACHTREE PKWY STE 420, PEACHTREE CORNERS, GA 30092-3362

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010066
GA

Other

Enumeration date
06/07/2018
Last updated
06/07/2018
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