Organization
MEDICLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARA BADIE NA (BILLING)
(770) 876-6972
Entity
Organization
Contact information
Practice address
355 UPPER RIVERDALE RD, A8, JONESBORO, GA 31141
(770) 876-6972
Mailing address
355 UPPER RIVERDALE RD STE# A-8, JONESBORO, GA 31141
(770) 876-6972
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007116
GA
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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