Organization
BACK 2 LIFE WELLNESS STUDIOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE CHRISTOPHER HINES D.C (CEO)
(562) 686-7907
Entity
Organization
Contact information
Practice address
1670 MCKENDREE CHURCH RD, B400, LAWRENCEVILLE, GA 30043-4107
(678) 985-0444
Mailing address
1670 MCKENDREE CHURCH RD, B400, LAWRENCEVILLE, GA 30043-4107
(678) 985-0444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009196
GA
Other
Enumeration date
10/08/2013
Last updated
10/08/2013
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