Organization
SOUTH CHEROKEE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS WAYNE JOHNSON DC (OWNER)
(770) 926-9488
Entity
Organization
Contact information
Practice address
4796 CANTON RD, SUITE 400, MARIETTA, GA 30066-3250
(770) 926-9488
(770) 924-7480
Mailing address
4796 CANTON RD, SUITE 400, MARIETTA, GA 30066-3250
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01800
GA
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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