Individual
BRADLEY ROBERT KRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
305 NOAH DR, JASPER, GA 30143-8723
(706) 253-9355
Mailing address
414 CHATOOGA LN, WOODSTOCK, GA 30188-3314
(321) 298-0895
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010861
GA
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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