Organization
TEAL HEALTH CLINIC. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLEAVELAND JOE TEAL D.C. (PRESIDENT)
(770) 445-1190
Entity
Organization
Contact information
Practice address
431 W MEMORIAL DR, DALLAS, GA 30132-4114
(770) 445-5779
(770) 445-5779
Mailing address
8605 CARTERSVILLE HWY, DALLAS, GA 30132-1394
(770) 445-5779
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR001617
GA
Other
Enumeration date
03/01/2010
Last updated
03/01/2010
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