Organization
GORMAN CHIROPRACTIC LIFE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON RAY GORMAN DC (OWNER)
(770) 993-8888
Entity
Organization
Contact information
Practice address
593 ATLANTA ST, ROSWELL, GA 30075-4454
(770) 993-8888
Mailing address
593 ATLANTA ST, ROSWELL, GA 30075-4454
(770) 993-8888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007698
GA
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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