Organization
RIVER TREE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR DAVID NIEVES DC (CHIROPRACTOR)
(770) 940-2255
Entity
Organization
Contact information
Practice address
4290 BELLS FERRY RD NW STE 118, KENNESAW, GA 30144-1300
(770) 924-4700
Mailing address
228 BROOKHAVEN CT, ACWORTH, GA 30102-2189
(770) 940-2255
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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