Individual
DR. THERESA R ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1099 MERCHANTS DR STE B, DALLAS, GA 30132-3005
(770) 443-4225
Mailing address
1099 MERCHANTS DR STE B, DALLAS, GA 30132-3005
(770) 443-4225
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
CHIRO06656
GA
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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