Organization
ATLAS ORTHOGONAL CHIROPRACTIC
Active
Other names
Mitchell Braddon, D.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL BRADDON D.C. (OWNER)
(770) 998-7774
Entity
Organization
Contact information
Practice address
7828 HICKORY FLAT HWY STE 130, WOODSTOCK, GA 30188-6578
(770) 998-7774
Mailing address
7828 HICKORY FLAT HWY. #130, WOODSTOCK, GA 30188-3631
(770) 998-7774
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO004968
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
543858
BLUE CROSS BLUE SHIELD
GA
Enumeration date
12/18/2006
Last updated
05/09/2014
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