Organization
CORRECTING LIVES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFAN NICHOLS DC (CHIROPRACTOR/OWNER)
(912) 432-1336
Entity
Organization
Contact information
Practice address
1713 MOUNT VERNON RD, DUNWOODY, GA 30338-4243
(404) 500-7266
Mailing address
3740 HERMITAGE DR, BERKELEY LAKE, GA 30096-3118
(912) 432-1336
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
06/22/2023
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