Organization
GEORGIA SPORTS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA H GLASS D.C. (OWNER)
(404) 872-4878
Entity
Organization
Contact information
Practice address
754 PEACHTREE ST NE STE 105, ATLANTA, GA 30308-1256
(404) 872-4878
(404) 872-4846
Mailing address
754 PEACHTREE ST NE STE 105, ATLANTA, GA 30308-1256
(404) 872-4878
(404) 872-4846
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
6980
GA
Other
Enumeration date
02/09/2007
Last updated
09/16/2010
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