Organization
MIRACLE CHIROPRACTIC REHAB & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMON ECTOR (OWNER)
(770) 731-1114
Entity
Organization
Contact information
Practice address
6853 DOUGLAS BLVD, DOUGLASVILLE, GA 30135-7179
(770) 731-1114
(404) 682-1396
Mailing address
6853 DOUGLAS BLVD, DOUGLASVILLE, GA 30135-7179
(770) 731-1114
(404) 682-1396
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
12/18/2024
Last updated
12/19/2024
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