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Individual

BRIAN TAVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
5910 SUWANEE DAM RD STE 200, SUGAR HILL, GA 30518-5648
(678) 714-3053
Mailing address
5910 SUWANEE DAM RD STE 200, SUGAR HILL, GA 30518-5648
(678) 714-3053

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR011274
GA

Other

Enumeration date
11/13/2024
Last updated
11/13/2024
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