Individual
PATRICIA DI BENEDETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1607 SKYRIDGE DR, WOODSTOCK, GA 30188-3965
(470) 292-1824
Mailing address
PO BOX 428, WALESKA, GA 30183-0428
(470) 292-1824
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009478
GA
Other
Enumeration date
10/02/2015
Last updated
10/05/2015
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