Individual
MITCHELL GREXA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1750 MARIETTA HWY, SUITE 140, CANTON, GA 30114-8387
(770) 213-7602
(770) 213-7604
Mailing address
1750 MARIETTA HWY, SUITE 140, CANTON, GA 30114-8387
(770) 213-7602
(770) 213-7604
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR005316
GA
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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