Individual
EDUARDO EMANUEL RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3040 RIVERSIDE DR STE B3, MACON, GA 31210-0470
(478) 257-6114
Mailing address
3040 RIVERSIDE DR STE B3, MACON, GA 31210-0470
(478) 257-6114
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010621
GA
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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