Organization
MARIETTA HEALTHCARE
Active
Other names
Southern Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON MEDRANO (CLINIC DIRECTOR)
(770) 792-0927
Entity
Organization
Contact information
Practice address
534 FLINT TRL, JONESBORO, GA 30236-1316
(770) 792-0927
(770) 792-7893
Mailing address
PO BOX 6881, MARIETTA, GA 30065-0881
(770) 792-0927
(770) 792-7893
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
GA
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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