Organization
LIVING I.E. CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN T SCHROCK D.C. (CHIROPRACTOR)
(765) 620-4453
Entity
Organization
Contact information
Practice address
1673 MILLER AVE SE, MARIETTA, GA 30060-4241
(765) 620-4453
Mailing address
1673 MILLER AVE SE, MARIETTA, GA 30060-4241
(765) 620-4453
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
CHIR009579
GA
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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