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Individual

MARY K. BRITTAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
957 W MARIETTA ST NW, ATLANTA, GA 30318-5282
(404) 817-9755
(404) 817-9756
Mailing address
957 W MARIETTA ST NW, ATLANTA, GA 30318-5282
(404) 817-9755
(404) 817-9756

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR002556
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
159492
BLUE SHIELD GA
GA
01
606956
ACN
GA
Enumeration date
11/13/2006
Last updated
07/08/2007
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