Organization
JAQUES CHIROPRACTIC L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY RYAN JAQUES D.C. (OWNER)
(678) 947-3316
Entity
Organization
Contact information
Practice address
6010 SOUTHARD TRCE, CUMMING, GA 30040-6343
(678) 947-3316
(678) 947-3317
Mailing address
6010 SOUTHARD TRCE, CUMMING, GA 30040-6343
(678) 947-3316
(678) 947-3317
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008843
GA
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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