Individual
EDMUND RYAN MIERZEJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1000 WOODSTOCK PKWY, WOODSTOCK, GA 30188-4856
(678) 388-7788
(678) 388-7088
Mailing address
1000 WOODSTOCK PKWY, WOODSTOCK, GA 30188-4856
(678) 388-7788
(678) 388-7088
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009541
GA
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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