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Individual

DR. MARK RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
180 TOWNE LAKE PKWY, WOODSTOCK, GA 30188-4843
(770) 517-2240
Mailing address
124 HIDDEN CREEK DR, CANTON, GA 30114-1290
(716) 622-2453

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009420
GA

Other

Enumeration date
12/03/2014
Last updated
12/03/2014
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