Organization
MIRA CHIROPRACTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRA ABDURASHID AHMED D.C (CHIROPRACTOR)
(770) 713-9394
Entity
Organization
Contact information
Practice address
1511 PARK GROVE DR, LAWRENCEVILLE, GA 30046-4398
(770) 713-9394
Mailing address
575 DEKALB INDUSTRIAL WAY STE 105, DECATUR, GA 30030-1756
(770) 713-9394
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008996
GA
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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