Organization
CROSSROADS SPINE & WELLNESS,LLC
Active
Other names
Crossroads Spine & Wellness, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY L MCSKULIN D.C. (DR/OWNER)
(706) 654-2400
Entity
Organization
Contact information
Practice address
5391 HIGHWAY 53, SUITE 108, BRASELTON, GA 30517-3135
(706) 654-2400
Mailing address
5391 HIGHWAY 53, SUITE 108, BRASELTON, GA 30517-3135
(706) 654-2400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR002968
GA
Other
Enumeration date
12/22/2016
Last updated
01/09/2017
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