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Organization

CEDARCREST MEDICAL AND REHABILITATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JORGE A BUENO D.C (PRESIDENT)
(678) 574-4878
Entity
Organization

Contact information

Practice address
2161 CEDARCREST RD, 115, ACWORTH, GA 30101-6404
(678) 574-4878
(678) 574-4899
Mailing address
2161 CEDARCREST RD, 115, ACWORTH, GA 30101-6404
(678) 574-4878
(678) 574-4899

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
007057
GA

Other

Enumeration date
11/29/2012
Last updated
11/29/2012
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