Organization
FUNCTIONAL FITNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON FLOYD ADDISON D.C. (CHIROPRACTOR)
(678) 494-9668
Entity
Organization
Contact information
Practice address
244 CREEKSTONE RDG, WOODSTOCK, GA 30188-3732
(678) 494-9668
(678) 494-9771
Mailing address
244 CREEKSTONE RDG, WOODSTOCK, GA 30188-3732
(678) 494-9668
(678) 494-9771
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
008428
GA
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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