Organization
BRADDY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE BRADDY D.C. (PRESIDENT/OWNER)
(770) 506-4344
Entity
Organization
Contact information
Practice address
102 VINCENT AVE, STOCKBRIDGE, GA 30281-5049
(770) 506-4344
Mailing address
102 VINCENT AVE, STOCKBRIDGE, GA 30281-5049
(770) 506-4344
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009391
GA
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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