Organization
LLABB, LLC
Active
Other names
Muscle Performance Science
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH BRONSON WALTERS (OWNER)
(678) 456-5122
Entity
Organization
Contact information
Practice address
4018 NINE MCFARLAND DR, ALPHARETTA, GA 30004-3384
(678) 456-5122
(678) 456-5122
Mailing address
4018 NINE MCFARLAND DR, ALPHARETTA, GA 30004-3384
(678) 456-5122
(678) 456-5122
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CHIR008932
GA
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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