Individual
DR. SHAWN GENE BISACCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3571 CHAMBLEE TUCKER RD, CHAMBLEE, GA 30341-4409
(678) 701-2225
Mailing address
277 TOWERIDGE DR SW, MARIETTA, GA 30064-3678
(678) 471-1272
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007763
GA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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