Individual
MR. JOSEPH PETER TAVERNEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
309 E MAIN ST, CARTERSVILLE, GA 30120-3335
(770) 386-5262
(770) 386-0502
Mailing address
145 W SKYLINE VW, DALLAS, GA 30157-7459
(770) 743-7214
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009438
GA
111NI0013X
Independent Medical Examiner Chiropractor
001749
CT
111NR0400X
Rehabilitation Chiropractor
001749
CT
Other
Enumeration date
03/06/2008
Last updated
10/01/2015
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