Organization
PARK RIDGE HEALTHCARE AND PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK JOSEPH SALLARULO DC (OWNER)
(770) 457-0584
Entity
Organization
Contact information
Practice address
2896 CHAMBLEE TUCKER ROAD, SUITE 4, ATLANTA, GA 30341
(770) 457-0584
(770) 457-0773
Mailing address
2896 CHAMBLEE TUCKER RD STE 2, ATLANTA, GA 30341-4009
(770) 457-0584
(770) 457-0773
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR002472
GA
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/06/2017
Last updated
07/12/2017
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