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Organization

EAGLE CHIROPRACTIC CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL ANDREW BRUNO D.C. (PRESIDENT)
(678) 565-1500
Entity
Organization

Contact information

Practice address
616 EAGLES LANDING PKWY, SUITE-10, STOCKBRIDGE, GA 30281-5096
(678) 565-1500
(678) 565-7411
Mailing address
616 EAGLES LANDING PKWY, SUITE-10, STOCKBRIDGE, GA 30281-5096
(678) 565-1500
(678) 565-7411

Taxonomy

Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
CH7373
GA

Other

Enumeration date
05/06/2008
Last updated
09/23/2015
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