Individual
MATTHEW DEUTSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 HOWARD LN, FAYETTEVILLE, GA 30215-1849
(770) 460-0165
Mailing address
145 BLACKJACK CT, FAYETTEVILLE, GA 30215-4980
(770) 716-5836
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR006928
GA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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