Organization
INTELLIGENT CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALVATORE J MINICOZZI D.C. (OWNER/MANAGER)
(404) 531-9525
Entity
Organization
Contact information
Practice address
5871 GLENRIDGE DR NE, SUITE 115, ATLANTA, GA 30328-5375
(404) 531-9525
(404) 531-9842
Mailing address
5871 GLENRIDGE DR NE, SUITE 115, ATLANTA, GA 30328-5375
(404) 531-9525
(404) 531-9842
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO05349
GA
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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