Individual
DR. JORDAN LOUIS MALLAMACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6110 MCFARLAND STATION DR UNIT 400, ALPHARETTA, GA 30004-6806
(770) 851-9890
Mailing address
6110 MCFARLAND STATION DR UNIT 400, ALPHARETTA, GA 30004-6806
(770) 851-9890
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010434
GA
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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