Organization
ACTIVE 4 LIFE CHIROPRACTIC, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HARRIS (OWNER)
(770) 815-3160
Entity
Organization
Contact information
Practice address
2520 NORTHWINDS PKWY, SUITE 150, ALPHARETTA, GA 30009-2216
(770) 815-3160
Mailing address
2520 NORTHWINDS PKWY, SUITE 150, ALPHARETTA, GA 30009-2216
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008735
GA
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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