Organization
SYNERGY MEDICAL CENTERS OF ROSWELL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE M FALLER (OFFICE MANAGER)
(770) 581-2191
Entity
Organization
Contact information
Practice address
5499 JONESBORO RD, SUITE 240, LAKE CITY, GA 30260-3553
(770) 881-2191
(770) 704-1884
Mailing address
1065 BRIDGE MILL AVE, CANTON, GA 30114-7717
(770) 581-2191
(770) 704-1884
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIR008003
GA
174400000X
Specialist
Primary
56072
GA
174400000X
Specialist
PT006876
GA
207RP1001X
Pulmonary Disease Physician
22393
GA
Other
Enumeration date
07/13/2007
Last updated
07/21/2015
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