Individual
EDGARDO J SALAS-ROBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
715 S THORNTON AVE, DALTON, GA 30720-8213
(706) 609-0023
Mailing address
2157 LAKE PARK DR SE, SMYRNA, GA 30080-8870
(404) 518-0052
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CHIR010221
GA
Other
Enumeration date
06/04/2019
Last updated
07/08/2019
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