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Organization

STRACK CHIROPRACTIC WELLNESS CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH CHARLES STRACK DC (OWNER)
(678) 480-6075
Entity
Organization

Contact information

Practice address
246 CREEKSTONE RDG, WOODSTOCK, GA 30188-3732
(678) 494-9668
Mailing address
246 CREEKSTONE RDG, WOODSTOCK, GA 30188-3732
(678) 494-9668

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
111NR0200X
Radiology Chiropractor
111NR0400X
Rehabilitation Chiropractor
111NS0005X
Sports Physician Chiropractor
Primary
111NT0100X
Thermography Chiropractor
111NX0100X
Occupational Health Chiropractor
111NX0800X
Orthopedic Chiropractor

Other

Enumeration date
01/08/2019
Last updated
01/08/2019
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