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Individual

DR. TISHA RENE COREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
2440 SANDY PLAINS RD, BLDG 24 SUITE 100, MARIETTA, GA 30066-7217
(770) 866-4075
Mailing address
1376 DUKES CREEK DR NW, KENNESAW, GA 30152-8231
(678) 522-5575

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007784
GA

Other

Enumeration date
06/03/2009
Last updated
10/21/2009
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