Individual
PASQUEAL BIGOMS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTOR
Contact information
Practice address
185 GEORGIA AVE E, FAYETTEVILLE, GA 30214
(770) 461-0055
Mailing address
185 GEORGIA AVE E, FAYETTEVILLE, GA 30214-1615
(770) 461-0055
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009781
GA
Other
Enumeration date
10/29/2017
Last updated
10/29/2017
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