Individual
EDITH MOBOLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
981 CONCORD RD SE, SMYRNA, GA 30080-4267
(770) 778-0088
(770) 319-6377
Mailing address
2381 SCOTNEY CASTLE LN, POWDER SPRINGS, GA 30127-5904
(770) 778-0088
(770) 590-9765
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CHIR007498
GA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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