Individual
DR. JEREMY RYAN JAQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6010 SOUTHARD TRCE, CUMMING, GA 30040-6343
(678) 947-3316
(678) 947-3317
Mailing address
1199 ASHBOROUGH DR SE, APT. B, MARIETTA, GA 30067-6925
(678) 947-3316
(678) 947-3317
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008843
GA
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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