Organization
TOWNE LAKE FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA MORAN (INSURANCE MANAGER)
(770) 592-1877
Entity
Organization
Contact information
Practice address
1000 WYNGATE PKWY, 200, WOODSTOCK, GA 30189-6981
(770) 592-1877
(770) 592-1876
Mailing address
1000 WYNGATE PKWY, 200, WOODSTOCK, GA 30189-6981
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009726
GA
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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