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Organization

ICEBERG HOLDINGS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAMLESH PATEL DC (CHIROPRACTOR)
(678) 985-0444
Entity
Organization

Contact information

Practice address
1670 MCKENDREE CHURCH RD STE 400B, LAWRENCEVILLE, GA 30043-4100
(678) 985-0444
(470) 823-9759
Mailing address
1670 MCKENDREE CHURCH RD STE 400B, LAWRENCEVILLE, GA 30043-4100
(678) 985-0444

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
05/11/2020
Last updated
05/11/2020
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