Organization
ROSWELL MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER K GEBHARDT DC (OWNER)
(678) 878-3551
Entity
Organization
Contact information
Practice address
11040 CRABAPPLE RD, ROSWELL, GA 30075-2457
(678) 878-3551
(678) 878-3552
Mailing address
11040 CRABAPPLE RD, ROSWELL, GA 30075-2457
(678) 878-3551
(678) 878-3552
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIR007542
GA
208D00000X
General Practice Physician
Primary
20987
GA
208D00000X
General Practice Physician
26935
GA
Other
Enumeration date
10/02/2015
Last updated
04/03/2017
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