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Individual

ROBERT DAVIS GRACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3800 PLEASANT HILL RD, SUITE 3, DULUTH, GA 30096-1428
(770) 497-9700
Mailing address
3800 PLEASANT HILL RD, SUITE 3, DULUTH, GA 30096-1428
(770) 497-9700

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO03103
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1346312816
CORPORATE NPI
GA
Enumeration date
03/14/2007
Last updated
07/08/2007
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