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Organization

CHURCH STREET CHIROPRACTIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT WAIKEL M.D. (PHYSICIAN)
(770) 907-0000
Entity
Organization

Contact information

Practice address
7075 CHURCH ST, RIVERDALE, GA 30274-2306
(770) 907-0000
(770) 991-5012
Mailing address
7075 CHURCH ST, RIVERDALE, GA 30274-2306
(770) 907-0000
(770) 991-5012

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
GA

Other

Enumeration date
10/08/2015
Last updated
10/08/2015
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