Organization
INNOVA BRAIN REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DUFFY DC, DACNB, FABBIR (PRESIDENT)
(770) 485-6554
Entity
Organization
Contact information
Practice address
200 COBB PKWY N, SUITE 128, MARIETTA, GA 30062-3585
(770) 485-6554
Mailing address
200 COBB PKWY N, SUITE 128, MARIETTA, GA 30062-3585
(770) 485-6554
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CHIR005136
GA
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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