Individual
KENNETH JAY NORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
466 MANGET ST SE, MARIETTA, GA 30060-2775
(770) 423-9939
Mailing address
466 MANGET ST SE, MARIETTA, GA 30060-2775
(770) 423-9939
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR006558
GA
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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