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Individual

BENJAMIN SHIVERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
3200 POINTE PKWY STE 300, PEACHTREE CORNERS, GA 30092-3370
(770) 744-5810
Mailing address
1156 MAGNOLIA WAY SE, SMYRNA, GA 30082-2200
(678) 656-8859

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010519
GA

Other

Enumeration date
03/26/2021
Last updated
12/23/2024
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