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Individual

DR. MARK TIMOTHY GRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
803 POWDER SPRINGS ST STE 10, MARIETTA, GA 30064-3649
(770) 419-8691
(770) 419-8793
Mailing address
803 POWDER SPRINGS ST STE 10, MARIETTA, GA 30064-3649
(770) 419-8691
(770) 419-8793

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR002949
GA

Other

Enumeration date
12/06/2006
Last updated
07/08/2007
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